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Contact Information

JESSICA A PETERSON, MD
6250 S COTTAGE GROVE AVE
CHICAGO, IL60637-2530
 Phone: 773-702-2193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JESSICA A PETERSON · (Female)

NPI Number 1013361666
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2016
Last updated 05/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036163367
Hospital affiliation(s) Not Available
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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