John Peterson, M.D.

NPI #1003833625 in Champaign, Illinois

Provider Information

NPI Number: 1003833625
Entity Type: Individual
Name: John Peterson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 17, 2006
Last Updated: Mar 16, 2019

Practice Location

Address: 2917 CROSSING CT
Address 2: SUITE B1
City: Champaign
State: Illinois
ZIP Code: 61822-6184
Phone: (217) 344-2740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X
Internal Medicine	207R00000X	Primary

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