WILLIAM HARRELD PETERSON

GREAT LAKES, IL
NPI1164482212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  2000-PA22)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
Mr. WILLIAM HARRELD PETERSON PA-C
3420 ILLINOIS ST USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES, IL 60088-5230
Phone number: 847-688-6755
Mailing Address
Mr. WILLIAM HARRELD PETERSON PA-C
1313 PINE GROVE AVE
ROUND LAKE BEACH, IL 60073-2152
Phone number: 847-688-6755
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