Peterson, Julia

Peterson, Julia is an individual health care provider with primary practice located at 2650 Ridge Ave Emergency Medicine Rm G909, Evanston IL 60201-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Emergency, which is considered as her primary health care specialty. Peterson, Julia can be contacted via phone (847) 570-2114.

Contact Information

Primary practice address
2650 Ridge Ave Emergency Medicine Rm G909 Evanston IL 60201-1718
Phone: (847) 570-2114
Fax: (847) 570-1223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X 209006772 Illinois

Profile Details

NPI number 1699952143
LBN Legal business name Peterson, Julia
Credentials APN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Feb 27th, 2013 - about 12 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 1699952143 NPPES
Illinois Other 209006772 STATE LICENSE

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