Peck, Andrew Michael
Peck, Andrew Michael is an individual health care provider with primary practice located at 601 W Golf Rd Ste 105 Nephrology Assoc. Of Northern Illinois, Mount Prospect IL 60056-4276. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Peck, Andrew Michael can be contacted via phone (847) 439-8780.Contact Information
Primary practice address
601 W Golf Rd Ste 105 Nephrology Assoc. Of Northern Illinois
Mount Prospect IL 60056-4276
Phone: (847) 439-8780
Fax: (847) 298-6395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036119166 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036119166 | Illinois |
Profile Details
| NPI number | 1114191632 |
|---|---|
| LBN Legal business name | Peck, Andrew Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Feb 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114191632 | NPPES |
| Illinois | MEDICAID | 036119166 |
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