Peterson, Jeffrey Carl

Peterson, Jeffrey Carl is an individual health care provider with primary practice located at 820 S Wood St Ste 100 , Chicago IL 60612-4325. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Peterson, Jeffrey Carl can be contacted via phone (312) 996-2933.

Contact Information

Primary practice address
820 S Wood St Ste 100 Chicago IL 60612-4325
Phone: (312) 996-2933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1013653591 Illinois

Profile Details

NPI number 1013653591
LBN Legal business name Peterson, Jeffrey Carl
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2022
Last updated Aug 26th, 2022 - about 4 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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