Individual
JEFFREY PEYTON WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1890 SILVER CROSS BLVD STE 240, NEW LENOX, IL 60451-9528
(815) 740-1900
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018729
IL
363LF0000X
Family Nurse Practitioner
209.018729
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.018729
STATE LICENSE
IL
Enumeration date
02/01/2019
Last updated
06/10/2022
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