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Individual

CHRISTINA MARIE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4800 MAINE ST, QUINCY, IL 62305-5875
(217) 224-6423
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036175246
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2022
Last updated
06/23/2025
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