Organization
LISA J. PETERS, MD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J PETERS M.D. (PRESIDENT)
(708) 386-2400
Entity
Organization
Contact information
Practice address
7339 MADISON ST, FOREST PARK, IL 60130-1543
(708) 386-2400
(708) 366-8458
Mailing address
2717 N DAYTON, CHICAGO, IL 60614-1409
(708) 386-2400
(847) 432-2174
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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