Petersen Management Company, LLC

Practice location

Address

5 Doctors Park Rd, Mount Vernon, IL 62864-6224

Phone

(618) 242-1064

Fax

(618) 242-7559

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

1780767897

Entity type

Organization

NPI issued

23 Oct 2006

Record last updated

30 May 2013

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.