Individual
DR. CHANTELLE M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
15 SPINNING WHEEL RD, SUITE 422, HINSDALE, IL 60521-2914
(773) 991-0475
Mailing address
547 E 91ST PL, CHICAGO, IL 60619-7431
(773) 655-0142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007437
IL
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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