Individual
VANESSA ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
(217) 383-3439
Mailing address
611 W PARK ST, URBANA, IL 61801-2512
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036178501
IL
2084P0800X
Psychiatry Physician
Primary
125.078435
IL
Other
Enumeration date
05/31/2021
Last updated
03/09/2026
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