Individual
PETER JAMES CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 989-3814
(773) 989-6230
Mailing address
920 N WELLS ST APT 1511, CHICAGO, IL 60610-3671
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036166224
IL
2085R0202X
Diagnostic Radiology Physician
4301506485
MI
2085R0202X
Diagnostic Radiology Physician
81869
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
05/17/2026
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