Peterson Family Medicine

NPI #1750716262 in Eldorado, Illinois

Provider Information

NPI Number: 1750716262
Entity Type: Organization
Organization Name: Peterson Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Sep 4, 2013
Last Updated: Sep 4, 2013

Practice Location

Address: 911 4TH ST
City: Eldorado
State: Illinois
ZIP Code: 62930-1203
Phone: (618) 273-2100

Authorized Official

Name: PATRICK E PETERSON, D.O.
Title: ATTENDING PHYSICIAN
Phone: (618) 273-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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