COURTNEY ALYSSA PETERSON

PEORIA, IL
NPI1114778438
Former NameCOURTNEY HUMPAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-27
Last Update Date2024-03-27
Business Address
COURTNEY ALYSSA PETERSON DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Mailing Address
COURTNEY ALYSSA PETERSON DO
4101 W HOLLOW CREEK DR
PEORIA, IL 61615-5629
Phone number: 563-419-6885