NPI 1174202543

Elizabeth Petersen

Practitioner Clinical Pharmacology Physician Chicago, IL

Practice location

Address: 1969 W Ogden Ave, Chicago, IL 60612-3765
Phone: (312) 864-6000
Mailing address: 1531 Inspiration Dr APT 3017, Dallas, TX 75207-3767

Registered specialties

Clinical Pharmacology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence 051305104 (IL)

Other Clinical Pharmacology providers in Illinois →

Registry record

NPI: 1174202543
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2023
Record last updated: 13 Jul 2023

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.