Peterson, Kristen

Peterson, Kristen is an individual health care provider with primary practice located at 3865 E Main St , St Charles IL 60174-2424. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peterson, Kristen can be contacted via phone (630) 587-5788.

Contact Information

Primary practice address
3865 E Main St St Charles IL 60174-2424
Phone: (630) 587-5788
Fax: (630) 588-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070014135 Illinois

Profile Details

NPI number 1467562660
LBN Legal business name Peterson, Kristen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 12th, 2018 - about 8 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 1467562660 NPPES
Illinois Other 1619908 BCBS IL GROUP NUMBER
Illinois Other 567700 BCBS IL GROUP NUMBER
Illinois Other 1623066 BCBS IL GROUP NUMBER
Illinois Other 367885100 BCBS IL GROUP NUMBER
Illinois Other 568080 BCBS IL GROUP NUMBER
Illinois Other 568150 BCBS IL GROUP NUMBER

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