Individual
MS. STEPHANIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
63 MARK DR, HAWTHORN WOODS, IL 60047-9136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.024247
IL
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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