Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chase B Petersen, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1407144702

Chase B Petersen, MD is an Obstetrics/Gynecology in Logan, Utah. Graduated from University of Vermont College of Medicine in 2011, 15 years ago. Works from 6 locations. Licensed in Illinois.

Years since qualifying
15
Trained at
University of Vermont College of Medicine
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1400 N 500 E
Logan, UT 84341
Phone: (435) 716-1920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 — (815) 971-7000
  • Uw Hospital And Clinics, Madison, WI 53792-0001 — (608) 263-1228
  • Uw Hospital And Clinics, Madison, WI 53792-0001 — (608) 263-1228

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036.178096 (IL)

Record details

NPI number1407144702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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