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Contact Information

SELENA B PETERS, MD
40 SKOKIE BLVD STE 300
NORTHBROOK, IL60062-1601
 Phone: 866-729-1012
 Fax: 847-996-2147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SELENA B PETERS · (Female)

NPI Number 1063426880
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 06/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 36166538
  • WI License # 54751
Hospital affiliation(s)
  • THE QUEENS MEDICAL CENTER - (Acute Care)
    1301 PUNCHBOWL ST
    HONOLULU, HI 96813
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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