John T Peterson DDS PC
John T Peterson DDS PC provides Dentist services in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 E Court St Ste 504Kankakee, IL 60901-3843 Not confirmed with CMS for 14 years — call before visiting
Phone: (815) 932-3613
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 19A14762 (IL) |
|---|
Record details
| NPI number | 1437436664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Peterson — Dentist · (815) 932-3613 |
| NPI enumerated | November 16, 2011 |
| Last updated in NPPES | November 16, 2011 |
| Mailing address | 200 E Court St, Suite 504, Kankakee, IL 60901-3843 |
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