Bruce P. Peterson is a Pediatrics in Roscoe, Illinois. Bruce P. Peterson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bruce P. Peterson is 1821108010. The last update date is 2010-01-29.
Bruce P. Peterson's current location address is 5000 Prairie Rose Dr, Roscoe, Illinois. You can contact this provider via phone number 8159712000. The mailing address for Bruce P. Peterson is 5000 Prairie Rose Dr, Roscoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce P. Peterson |
|---|---|
| Address | 5000 Prairie Rose Dr, Roscoe, Illinois |
| Phone Number | 8159712000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821108010 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-01-29 |
Provider Mailing Address Detail
| Address | 5000 Prairie Rose Dr |
|---|---|
| City | Roscoe |
| State | Illinois (IL) |
| Post Code | 610737792 |
| Phone Number | 8159712000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 036-053478 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36053478 | IL | -- |
Post Comment/ Review Below
What is the Bruce P. Peterson's unique identification number?
The Bruce P. Peterson has been assigned the NPI (National Provider Identifier) Number 1821108010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Bruce P. Peterson's facilities are situated?
The facilities of Bruce P. Peterson are physically located at the following address: 5000 Prairie Rose Dr, Roscoe, IL, 610737792.
What is Bruce P. Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce P. Peterson's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Bruce P. Peterson receive its 1821108010 assignment from the Centers for Medicare & Medicaid Services?
The Bruce P. Peterson was assigned its 1821108010 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Bruce P. Peterson last refreshed?
The information related to the Bruce P. Peterson, including its address, specialty, and other relevant details, was last updated on 2010-01-29.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY