Individual
LISA J PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7236 MADISON ST, FOREST PARK, IL 60130-1765
(708) 524-1400
(708) 524-1441
Mailing address
7236 MADISON ST, FOREST PARK, IL 60130-1765
(708) 524-1400
(708) 524-1441
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036107308
IL
Other
Enumeration date
06/22/2006
Last updated
08/30/2023
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