Individual
ERIKA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 N CLYBOURN AVE, CHICAGO, IL 60614-2932
(773) 384-3500
Mailing address
801 S PAULINA ST RM 256D, CHICAGO, IL 60612-7210
(312) 413-7714
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.032628
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
02/02/2026
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