Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIAM HARRELD PETERSON, PA-C
ActiveMR. WILLIAM HARRELD PETERSON, PA-C is a Physician Assistant healthcare provider located in GREAT LAKES, Illinois. NPI 1164482212 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREAT LAKES, IL
Registration Details
- NPI Number
- 1164482212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.247950026265 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2000-PA22 (NM)
Practice Information
- Address
-
3420 ILLINOIS STUSS TRANQUILITY MEDICAL CLINIC 1007GREAT LAKES, IL, 600885230Browse IL providers · Browse ZIP 60088
- Phone
- 8476886755
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GREAT LAKES, IL
| Name | Credential | NPI |
|---|---|---|
| ADAM ROBERT DZIEDZIC | P.A.-C | 1104935899 |
| CARLOS JULIO ALBARRACIN | PAC | 1396860334 |
| MAXWELL ROONEY | — | 1154123560 |
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.