DANIELLE MARIE PETERSON

CHICAGO, IL
NPI1710447933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036.160459)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-22
Last Update Date2023-11-06
Business Address
DANIELLE MARIE PETERSON DO
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
DANIELLE MARIE PETERSON DO
1405 MARKET ST
GOWRIE, IA 50543-7530
Phone number: