Most Relevant Information
Provider Data
NPI Number: | 1003271586 |
Provider Name: | ANGELA OBONDO PETERSON APRN, CNP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 2017028749 |
Most Important Dates
Enumeration Date: | 12/28/2015 |
Last Updated: | 09/08/2022 |
Provider Practice Location
259 E ERIE ST FL 17
CHICAGO
IL
606112987
Practice Location Phone/Fax
Phone: | 3129266000 |
Fax: | 3129260516 |
Provider Mailing Location
259 E ERIE ST FL 17
CHICAGO
IL
606112987
Provider Mailing Phone/Fax
Phone: | 3129266000 |
Fax: | 3129260516 |