Search › Illinois › 222Q00000X
James Peterson
NPI 1619784493 · on the registry since 2024 · sole proprietor
Practice
- Address
- 405 Welty Ave
Rockford, IL 61107 - Phone
- (779) 221-6395
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois