Dr. Jon Fredrick Petersen, MD
Dr. Jon Fredrick Petersen, MD is an Occupational Medicine Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1750 E Lake Shore DrDecatur, IL 62521-3803
Phone: (217) 464-1440
Fax: (217) 464-1469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Medicine Physician (primary) | Taxonomy 2083X0100X · Licence 036129728 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036129728 (IL) |
Record details
| NPI number | 1285621516 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 3, 2005 |
| Last updated in NPPES | October 12, 2016 |
| Mailing address | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 |
Other providers in Decatur
-
Adills Moosa, DO
1750 E Lake Shore Dr, Decatur, IL 62521-3803 · (217) 464-1440