Individual
DR. PETER WILLIAM MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1855 W TAYLOR ST # 3.138, CHICAGO, IL 60612-7242
(312) 996-9120
(312) 996-7770
Mailing address
1855 W TAYLOR ST # 3.138, CHICAGO, IL 60612-7242
(312) 996-9120
(312) 996-7770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054224
IL
207W00000X
Ophthalmology Physician
Primary
036127245
IL
Other
Enumeration date
06/23/2008
Last updated
02/05/2021
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