Individual provider · Type 1 NPI
Kelly A. Peterson
Critical Care Neonatal Nurse Practitioner · Chicago, IL
NPI number
1255965208
Active
Practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
12516 S 71st Ct
Palos Heights, IL 60463-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 209.020968 (IL) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1255965208
Kelly A. Peterson's National Provider Identifier is 1255965208, issued on Feb 28, 2020. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Chicago, IL. The record was last updated on Feb 28, 2020.