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Anna Petersen, MD
Student in an Organized Health Care Education/Training Program in Oak Park, Illinois
NPI 1427631936

Anna Petersen is a Student in an Organized Health Care Education/Training Program based in Oak Park, IL. Anna Petersen practices in Oak Park, IL and has the professional credentials of MD. The NPI Number for Anna Petersen is 1427631936 and holds a License No. (Illinois).

The current practice location address for Anna Petersen is 14 Lake St, Oak Park, IL and can be reached out via phone at 708-383-0113.

Location: 14 Lake St, Oak Park, IL, 60302-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427631936
Provider Name
Anna Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
14 Lake St, Oak Park, IL, 60302-2606
Phone Number
708-383-0113
Fax Number
Provider Enumeration Date
05/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 Lake St
City
Oak Park
State
Illinois
Zip
60302-2606
Phone Number
708-383-0113
Fax Number
person
Provider Business Mailing Address Details
Address
14 Lake St
City
Oak Park
State
Illinois
Zip
60302-2606
Phone Number
708-383-0113
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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