Individual
DR. M SCOTT PECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 MILWAUKEE, SUITE 222, NILES, IL 60714
(847) 967-9430
(847) 967-9218
Mailing address
7900 MILWAUKEE, SUITE 222, NILES, IL 60714
(847) 967-9430
(847) 967-9218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036043322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043322
—
IL
Enumeration date
01/17/2006
Last updated
01/06/2022
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