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

Jack Peterson, BS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427930569

Jack Peterson, BS is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

240 E Huron St Ste 1-200
Chicago, IL 60611-2909
Phone: (312) 503-7975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1427930569
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedJuly 21, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

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