Kristin Lily Peterson, MD is a student in an organized health care education training program in Maywood, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kristin Lily Peterson, MD NPI is 1871052803. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-4943
The NPI 1871052803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/19/2019 and was last updated on 3/20/2020.