Individual
PETER L SERAPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12 SALT CREEK LN, SUITE 425, HINSDALE, IL 60521-8605
(630) 789-2260
(630) 789-1584
Mailing address
12 SALT CREEK LN, SUITE 425, HINSDALE, IL 60521-8605
(630) 789-2260
(630) 789-1584
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036107633
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362658747
FEDERAL TAX ID
IL
Enumeration date
08/20/2006
Last updated
09/16/2015
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