Individual
BETH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19900 S LA GRANGE RD, MOKENA, IL 60448-8674
(708) 478-1821
Mailing address
8681 HOTCHKISS DR, FRANKFORT, IL 60423-8983
(815) 228-3570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293593
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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