Individual
JAY E PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W OAKTON ST, ARLINGTON HEIGHTS, IL 60004-4602
(847) 368-7562
Mailing address
1210 SYCAMORE ST, LAKE IN THE HILLS, IL 60156-1148
(847) 209-5119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005244
IL
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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