Peterson, Jennifer

Peterson, Jennifer is an individual health care provider with primary practice located at 1440 N Dayton St , Chicago IL 60642-2644. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Peterson, Jennifer can be contacted via phone (312) 227-4000.

Contact Information

Primary practice address
1440 N Dayton St Chicago IL 60642-2644
Phone: (312) 227-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041402421 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209018887 Illinois

Profile Details

NPI number 1801445754
LBN Legal business name Peterson, Jennifer
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated May 24th, 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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