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Search › Illinois › 1041C0700X

Shankar Peterson

NPI 1801356852 · on the registry since 2019

Practice

Address
820 S Damen Ave
Chicago, IL 60612
Phone
(708) 674-6638
Organisation at this address
Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
640

Additional practice sites

  • 820 S Damen Ave, Chicago, IL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-24

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