Individual
ANNALISE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3649
(815) 354-8200
Mailing address
2361 CHESAPEAKE BAY, ELGIN, IL 60123-8578
(224) 239-5260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
06/01/2012
Last updated
05/05/2026
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