NPI 1013653591

Jeffrey Carl Peterson, MDPHD

Practitioner Ophthalmology Physician Chicago, IL

Practice location

Address: 820 S Wood St STE 100, Chicago, IL 60612-4325
Phone: (312) 996-2933

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 1013653591 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013653591
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2022
Record last updated: 26 Aug 2022

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.