Petersen, Elizabeth

Petersen, Elizabeth is an individual health care provider with primary practice located at 1969 W Ogden Ave , Chicago IL 60612-3765. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pharmacology, which is considered as her primary health care specialty. Petersen, Elizabeth can be contacted via phone (312) 864-6000.

Contact Information

Primary practice address
1969 W Ogden Ave Chicago IL 60612-3765
Phone: (312) 864-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X 051305104 Illinois

Profile Details

NPI number 1174202543
LBN Legal business name Petersen, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2023
Last updated Jul 13th, 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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