Peterson, Cheryl Jo

Peterson, Cheryl Jo is an individual health care provider with primary practice located at 2323 Windish Dr , Galesburg IL 61401-9780. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Other Service Providers / Case Manager/Care Coordinator. Nursing Service Providers / Registered Nurse is her primary health care specialty. Peterson, Cheryl Jo can be contacted via phone (309) 344-2323.

Contact Information

Primary practice address
2323 Windish Dr Galesburg IL 61401-9780
Phone: (309) 344-2323
Fax: (309) 344-4391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 014-226592 Illinois
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 014-226592 Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X 014-226592 Illinois

Profile Details

NPI number 1992824569
LBN Legal business name Peterson, Cheryl Jo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Apr 14th, 2009 - about 16 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 1992824569 NPPES
Illinois Other 370984175 F.I.N. CORP BRIDGEWAY
Illinois Other 014-226592 F.I.N. CORP BRIDGEWAY

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