John Andrew Peterson in Jacksonville - Family Medicine
John Andrew Peterson - NPI 1164495941
John Andrew Peterson is a Family Medicine in Jacksonville, Illinois. John Andrew Peterson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Andrew Peterson is 1164495941. The last update date is 2017-04-20.
John Andrew Peterson's current location address is 800 W State St, Jacksonville, Illinois. You can contact this provider via phone number 2172439471 and fax number 2172435359. The mailing address for John Andrew Peterson is 800 W State St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Andrew Peterson |
|---|---|
| Address | 800 W State St, Jacksonville, Illinois |
| Phone Number | 2172439471 |
| Fax Number | 2172435359 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164495941 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2017-04-20 |
Provider Mailing Address Detail
| Address | 800 W State St |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626501910 |
| Phone Number | 2172439471 |
| Fax Number | 2172435359 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36055264 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36055264 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Andrew Peterson by the Centers for Medicare & Medicaid Services?
The John Andrew Peterson has been assigned the NPI (National Provider Identifier) 1164495941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the John Andrew Peterson's physical address?
The John Andrew Peterson is physically located at 800 W State St, in the city of Jacksonville, IL, with the postal code 626501910.
What is John Andrew Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Andrew Peterson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the John Andrew Peterson receive its 1164495941?
The John Andrew Peterson was issued its 1164495941 on 2006-02-10, which is the date when the organization was assigned this unique identifier.
When was the information regarding John Andrew Peterson most recently updated?
The details pertaining to the John Andrew Peterson, including its address, specialty, and other relevant information, were last refreshed on 2017-04-20.