Peck, Andrew Michael

Peck, Andrew Michael is an individual health care provider with primary practice located at 601 W Golf Rd Ste 105 Nephrology Assoc. Of Northern Illinois, Mount Prospect IL 60056-4276. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Peck, Andrew Michael can be contacted via phone (847) 439-8780.

Contact Information

Primary practice address
601 W Golf Rd Ste 105 Nephrology Assoc. Of Northern Illinois Mount Prospect IL 60056-4276
Phone: (847) 439-8780
Fax: (847) 298-6395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036119166 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036119166 Illinois

Profile Details

NPI number 1114191632
LBN Legal business name Peck, Andrew Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Feb 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114191632 NPPES
Illinois MEDICAID 036119166

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