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PETER D ANALYTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD SC

Contact information

Practice address
1802 N DIVISION ST STE 703, MORRIS, IL 60450-3104
(815) 942-4506
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036061885
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036061885
IL
01
K07501
MEDICARE WILL
IL
01
K07502
MEDICARE GRUNDY
IL
Enumeration date
05/19/2006
Last updated
08/07/2024
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