Peterson, Anthony

Peterson, Anthony is an individual health care provider with primary practice located at 2155 City Gate Ln Ste 225 , Naperville IL 60563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Peterson, Anthony can be contacted via phone (630) 547-5040.

Contact Information

Primary practice address
2155 City Gate Ln Ste 225 Naperville IL 60563
Phone: (630) 547-5040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036113202 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036113202 Illinois

Profile Details

NPI number 1144424649
LBN Legal business name Peterson, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Aug 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144424649 NPPES
Illinois MEDICAID 036113202

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