Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON FREDRICK PETERSEN, M.D.
ActiveDR. JON FREDRICK PETERSEN, M.D. is a Occupational Medicine healthcare provider located in DECATUR, Illinois. NPI 1285621516 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · DECATUR, IL
Registration Details
- NPI Number
- 1285621516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2005 (20.830502657364 yrs)
- Last Updated
- Oct 12, 2016
- Licenses
-
036129728 (IL)036129728 (IL)
Practice Information
- Address
-
1750 E LAKE SHORE DRDECATUR, IL, 625213803Browse IL providers · Browse ZIP 62521
- Phone
- 2174641440
- Fax
- 2174641469
- Primary Specialty
-
Occupational Medicine
2083X0100X
- Additional Specialty
- Family Medicine
Other Occupational Medicine Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KEITH LEWIS FABRIQUE | MD | 1225196710 |
| DR. HEATHER M O'HARA | M.D. | 1942525647 |
| ADILLS MOOSA | DO | 1932527017 |
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.