Peterson, Robert Kenneth

Peterson, Robert Kenneth is an individual health care provider with primary practice located at 2932 Finley Rd , Downers Grove IL 60515-1042. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peterson, Robert Kenneth can be contacted via phone (630) 629-6299.

Contact Information

Primary practice address
2932 Finley Rd Downers Grove IL 60515-1042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-017071 Illinois

Profile Details

NPI number 1801003314
LBN Legal business name Peterson, Robert Kenneth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Nov 7th, 2019 - about 5 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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