Individual
XANE DONOVAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3436
(708) 327-3489
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3436
(708) 327-3489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036162651
IL
Other
Enumeration date
03/31/2020
Last updated
06/17/2025
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