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Individual

DR. ELEANOR K. PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
108 ROBINSON ST, DANVILLE, IL 61832-8515
(217) 442-8611
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 442-8611

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-112507
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112507 1
IL
01
279500
MEDICARE GROUP
01
P00233359
RAILROAD MEDICARE
Enumeration date
08/03/2006
Last updated
04/14/2023
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