Individual
DEBRA JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 N WALKUP AVE, CRYSTAL LAKE, IL 60014-4316
(815) 356-9400
(815) 356-9100
Mailing address
470 TUSCANY DR, ALGONQUIN, IL 60102-6217
(224) 333-0539
(224) 333-0539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-355979
IL
Other
Enumeration date
10/05/2007
Last updated
05/02/2009
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