Robert James Peterson, OD OPTOMETRIST

NPI #1982768040 in Mchenry, Illinois

Provider Information

NPI Number: 1982768040
Entity Type: Individual
Name: Robert James Peterson, OD OPTOMETRIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD OPTOMETRIST
Enumeration Date: Dec 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4306 W CRYSTAL LK ROAD
City: Mchenry
State: Illinois
ZIP Code: 60050-4294
Phone: (815) 385-7930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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