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

Dr. Mark Theodore Peterson, NAPRAPATH

Individual provider Specialist · NPI 1558481366

Dr. Mark Theodore Peterson, NAPRAPATH is a Specialist in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

5712 Newburg Rd
Rockford, IL 61108-6707
Phone: (815) 397-8840
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1558481366
Entity typeIndividual (Type 1)
GenderMale
Credentials NAPRAPATH
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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