Petersen Health Care Ll, INC.

Practice location

Address

1717 Jefferson Ave, Mount Vernon, IL 62864-4330

Phone

(999) 999-9999

Mailing address

830 W Trailcreek Dr, Peoria, IL 61614-1862

Authorised official

Name

Mark B. Petersen

Title

President

Phone

(309) 691-8113

Registered specialties

Registry record

NPI

1659471993

Entity type

Organization

NPI issued

25 Sep 2006

Record last updated

22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.