Peck, Michael R

Peck, Michael R is an individual health care provider with primary practice located at 19550 Governors Hwy Suite 2000, Flossmoor IL 60422-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Peck, Michael R can be contacted via phone (708) 957-8750.

Contact Information

Primary practice address
19550 Governors Hwy Suite 2000 Flossmoor IL 60422-2125
Phone: (708) 957-8750
Fax: (708) 957-8602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Illinois

Profile Details

NPI number 1386749521
LBN Legal business name Peck, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 8th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386749521 NPPES
Illinois Other 793113418/CA4448 RAILROAD PALMETTO GBA

Popular Providers