Anthony D Peterson (NPI# 1144424649, PAC ID# 1052492741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144424649 |
| PAC ID by PECOS | 1052492741 |
| Professional Enrollment ID | I20080118000739 |
| Full Name | Anthony D Peterson |
| Organization Legal Name | DUPAGE MEDICAL GROUP LTD |
| Address |
2155 City Gate Ln Suite 225 Naperville IL 60563-7770 |
| Phone Number | 6305475040 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5496667941 |
| Number of Group Practice Members | 1174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| 140231 | EDWARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7770 | 6305475040 | DUPAGE MEDICAL GROUP LTD |
| Organization Legal Name | DUPAGE MEDICAL GROUP LTD |
| Physicians | 1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yekaterina Polyatskaya | Plastic and Reconstructive Surgery | Dupage Medical Group Ltd | 28381 Davis Pkwy, Suite 700, Warrenville, IL 60555-3033 |
| Gina Marie Sementa | Physical Therapy | Dupage Medical Group Ltd | 854 Roosevelt Rd, Suite E10, Glen Ellyn, IL 60137-6057 |
| Carolyn Bogart | Physical Therapy | Dupage Medical Group Ltd | 1807 S Washington St, Suite 12, Naperville, IL 60565-2446 |
| Lauren Wright | Physical Therapy | Dupage Medical Group Ltd | 1801 S Highland Ave, Lombard, IL 60148-4932 |
| Lauren Helen Fischer | Physical Therapy | Dupage Medical Group Ltd | 2124 Ogden Ave, 1c, Aurora, IL 60504-7514 |
| Danielle Bryant | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Kathryn Winkler | Ophthalmology | Dupage Medical Group Ltd | 1327 Butterfield Rd, Suite 618, Downers Grove, IL 60515-1001 |
| Yvonne Tran | Physical Therapy | Dupage Medical Group Ltd | 17129 Harlem Ave, B3, Tinley Park, IL 60477-3369 |
| Emily Koch | Physical Therapy | Dupage Medical Group Ltd | 1163 E Ogden Ave, Suite 719, Naperville, IL 60563-8535 |
| Jennesa K Fahey | Physical Therapy | Dupage Medical Group Ltd | 1504 Essington Rd, Suite B, Joliet, IL 60435-2871 |
| Street Address |
2155 CITY GATE LN SUITE 225 |
| City | NAPERVILLE |
| State | IL |
| Zip | 60563-7770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Erin Schnurstein | Nurse Practitioner | Dupage Medical Group Ltd | 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7770 |
| Nicole Cavallaro | Physical Therapy | Dupage Medical Group Ltd | 2155 City Gate Ln, Suite 115, Naperville, IL 60563-7733 |
| Mariam Mafee | Dermatology | Dupage Medical Group Ltd | 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7770 |
| Shraddha Desai | Dermatology | Dupage Medical Group Ltd | 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7770 |
| William Thompson | Physical Therapy | Dupage Medical Group Ltd | 2155 City Gate Ln, Suite 115, Naperville, IL 60563-7733 |
| John L Zautcke | Emergency Medicine | Du Page Medical Group Ltd | 2155 City Gate Ln, Suite 225, Naperville, IL 60563-7770 |
| Emily Federau | Physical Therapy | Du Page Medical Group Ltd | 2155 City Gate Ln, Suite 115, Naperville, IL 60563-7733 |
| Deborah R Andras | Physical Therapy | Du Page Medical Group Ltd | 2155 City Gate Ln, Naperville, IL 60563-7733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Serpe | Chiropractic | Serpe Chiropractic Clinic | 1952 Mcdowell Rd, Naperville, IL 60563 |
| Jacqueline A Rice | Nurse Practitioner | Practical Practitioners LLC | 1347 Crystal Ave, Naperville, IL 60563-0149 |
| Michael H Rabin | Neurosurgery | Neurosurgery and Spine Surgery Sc | 1551 Bond St, Suite 143, Naperville, IL 60563-0150 |
| Nina Appadurai | Psychologist, Clinical | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Yusra Al-shawaf | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Diane Toby | Psychologist, Clinical | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Christina Cal Shane | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Jillu Chinnu Panavelil | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Dorothea Swiderska | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| David Rodemaker | Psychologist, Clinical | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Find all physicians in zip 60563 | |||
| City | NAPERVILLE |
| Zip Code | 60563 |
| Specialty | DERMATOLOGY |
| City + Specialty | NAPERVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Anthony D Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.