Organization
MED CONTRACT INC
Active
Other names
Dr. Patrick E. Peterson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK EDWARD PETERSON D.O. (HEALTHCARE PROVIDER)
(618) 273-2100
Entity
Organization
Contact information
Practice address
911 4TH ST, ELDORADO, IL 62930-1203
(618) 273-2100
(618) 273-2110
Mailing address
210 BLUE EARTH LN, HARRISBURG, IL 62946-4576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361037154
—
IL
Enumeration date
03/08/2006
Last updated
09/12/2008
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