MR. CRAIG NEIL PETERSON (NPI# 1932421500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932421500 |
| Entity Type | Individual |
| Full Name | MR. CRAIG NEIL PETERSON |
| Credential | RPH |
| Practice Address |
200 N Berteau Ave Elmhurst IL 60126-2966 |
| Practice Telephone | 6309935165 |
| Practice Fax Number | 6309935220 |
| Mailing Telephone | 6309935165 |
| Mailing Fax Number | 6309935220 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051028953 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436452 | Craig Peterson | Chiropractor | 613 S Bluff Street, Twr 1, Suite 400, St George, UT 84770-3853 | 2008-07-31 |
| 1588698641 | Craig Stuart Peterson | Psychologist | 410 Arden Ave, Suite 201, Glendale, CA 91203-4006 | 2006-07-11 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1598739054 | Craig Arthur Peterson | Urology | 1550 B East Niagara Rd, Montrose, CO 81401-5027 | 2006-02-13 |
| 1114412228 | Craig Alan Peterson | Registered Nurse | 515 22nd Ave, Monroe, WI 53566-1569 | 2018-06-30 |
| 1437644903 | Craig Peterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1740650076 | Craig Peterson | Acupuncturist | 1570 N 115th St, Seattle, WA 98133-8401 | 2015-09-29 |
| 1467715474 | Craig A. Peterson | Dentist | 6226 14th Ave, Kenosha, WI 53143-4413 | 2012-06-25 |
| 1922128404 | Craig Albert Peterson | Dentist | 1504 4th St Ne, Waseca, MN 56093 | 2007-03-30 |
| 1396888640 | Craig A Peterson | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-15 |
| Street Address |
200 N BERTEAU AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484172 | George Fikaris | Anesthesiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-13 |
| 1154676187 | Ronald Jay Gerstein | Counselor | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2012-07-16 |
| 1083929145 | Margaret M, Biancofiori | Nurse Anesthetist, Certified Registered | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-08-13 |
| 1518281716 | Kassandra Koski | Speech-Language Pathologist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-03-17 |
| 1760713754 | Tara Anne Delaney | Registered Nurse | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-01-15 |
| 1588817167 | Edyta Leicht | Anesthesiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-10-28 |
| 1881843399 | Deanna David | Physical Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-09-09 |
| 1184882912 | Robert J Klatt IIi | Physical Therapy Assistant | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-29 |
| 1003074295 | Terri Ellen Calhoun | Occupational Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-25 |
| 1619134335 | Coleen Garcia | Physical Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912527771 | Amena Patwary | Pharmacist | 4040 79th St Apt B506, Elmhurst, NY 11373-1131 | 2020-04-22 |
| 1215588892 | Anne N/a Lau | Pharmacist | 4512 79th St, Elmhurst, NY 11373-3534 | 2019-09-24 |
| 1699233486 | Souphone Pone Rattana | Pharmacist | 474 W Commonwealth Ln, Elmhurst, IL 60126-4954 | 2019-03-11 |
| 1558832097 | Kristin Qianqian Yin | Pharmacist | 4022 Aske St, Elmhurst, NY 11373-1748 | 2018-12-10 |
| 1114496957 | Andrew Hoon Chung | Pharmacist | 7611a Broadway, Elmhurst, NY 11373-1032 | 2018-11-23 |
| 1508371220 | John Hagan | Pharmacist | 380 S Fairview Ave, Elmhurst, IL 60126-3711 | 2017-12-04 |
| 1235584889 | Sajitha Purathur | Pharmacist | 153 E Schiller St, Elmhurst, IL 60126-2869 | 2016-05-02 |
| 1952775587 | Michelle Gentilella | Pharmacist | 8449 57th Ave, Elmhurst, NY 11373-4833 | 2015-11-19 |
| 1417326117 | Amy Secord | Pharmacist | 733 S Hillside Ave, Elmhurst, IL 60126-4719 | 2015-09-23 |
| 1740666114 | Mohammad Zaman I | Pharmacist | 8622 56th Ave, Elmhurst, NY 11373-4830 | 2015-08-07 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.