Peterson, Anthony Ray
Peterson, Anthony Ray is an individual health care provider with primary practice located at 3001 Green Bay Rd Mail Code 116A, North Chicago IL 60064-3048. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, Anthony Ray can be contacted via phone (224) 610-4673.Contact Information
Primary practice address
3001 Green Bay Rd Mail Code 116A
North Chicago IL 60064-3048
Phone: (224) 610-4673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006958 | Illinois |
Profile Details
| NPI number | 1265456024 |
|---|---|
| LBN Legal business name | Peterson, Anthony Ray |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 29th, 2013 - about 13 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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