ERIN K PETERSEN

ILLINOIS DERMATOLOGY INSTITUTE LLC

Dr ERIN K PETERSEN is a female medical professional, specializing in Dermatology. She graduated in 2012 from University Of Missouri, Kansas City, School Of Medicine.

Contact

ILLINOIS DERMATOLOGY INSTITUTE LLC

901 N ELM ST
SUITE 250
HINSDALE
IL
605213632

Tel: 6303256880

ERIN K PETERSEN Information

Npi 1952663098
Pac Id 0941502397
Professional Enrollment Id I20160830001177
Last Name PETERSEN
First Name ERIN
Middle Name K
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ILLINOIS DERMATOLOGY INSTITUTE LLC
Group Practice Pac Id 7911043054
Number Of Group Practice Members 44
Line 1 Street Address 901 N ELM ST
Line 2 Street Address SUITE 250
Marker Of Address Line 2 Suppression
City HINSDALE
State IL
Zip Code 605213632
Phone Number 6303256880
Hospital Affiliation Ccn 1 140122
Hospital Affiliation Lbn 1 HINSDALE HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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