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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN PETERSON, M.D.

Active Sole Proprietor

JOHN PETERSON, M.D. is a Internal Medicine healthcare provider located in CHAMPAIGN, Illinois. NPI 1003833625 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CHAMPAIGN, IL

Registration Details

NPI Number
1003833625
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.088373356557 yrs)
Last Updated
Mar 16, 2019
Licenses
036083081 (IL)
036083081 (IL)
036083081 (IL)
Sole Proprietor
Yes

Practice Information

Address
2917 CROSSING CT
SUITE B1
CHAMPAIGN, IL, 618226184
Browse IL providers · Browse ZIP 61822
Phone
2173442740
Fax
2173442819
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in CHAMPAIGN, IL

Name Credential NPI
SARAH LOVINGER MD 1003894353
JENNIE C HSU-LUMETTA MD 1811929219
SCOTT R CINNAMON M.D. 1851326755
DR. ANDREW J. BARTLETT D.O. 1073520516
PUSHPA BALGIRI GIRI M.D. 1912914243
DR. KATHLEEN L. COLLINS M.D. 1962419432
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.