Most Relevant Information
Provider Data
| NPI Number: | 1003833625 |
| Provider Name: | JOHN PETERSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 036083081 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 03/16/2019 |
Provider Practice Location
2917 CROSSING CT
SUITE B1
CHAMPAIGN
IL
618226184
Practice Location Phone/Fax
| Phone: | 2173442740 |
| Fax: | 2173442819 |
Provider Mailing Location
2917 CROSSING CT
SUITE B1
CHAMPAIGN
IL
618226184
Provider Mailing Phone/Fax
| Phone: | 2173442740 |
| Fax: | 2173442819 |