JENNIFER CAROLYN PETERSON


Address: 777 Park Ave W, Highland Park, IL 60035-2433
Phone: 8474328000

JENNIFER CAROLYN PETERSON (NPI# 1982243036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982243036
Entity Type Individual
Full Name JENNIFER CAROLYN PETERSON
Credential PA-C
Practice Address 777 Park Ave W
Highland Park
IL 60035-2433
Mailing Address 757 Park Ave W Ste 2800
Highland Park
IL 60035-2557
Practice Telephone 8474328000
Mailing Telephone 8474321558
Enumeration Date 2020-01-06
Last Update Date 2020-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085.007374 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER PETERSON

NPI Name Taxonomy Address Enumeration
1184242570 Jennifer Jean Peterson Counselor 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 2020-07-11
1801428065 Jennifer R Peterson Counselor 808 E 7th St, Atlantic, IA 50022-1805 2020-02-06
1093229577 Jennifer Catherine Peterson Nurse Practitioner 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 2017-11-20
1851796411 Jennifer Peterson Physical Therapist 4509 Normandy St, Bismarck, ND 58503-5645 2014-10-24
1821339805 Jennifer Peterson Licensed Practical Nurse 68 Howard Ln, Tonawanda, NY 14150-8125 2013-03-15
1740556331 Jennifer Peterson Massage Therapist 14 S Dakota St, Butte, MT 59701-2003 2012-03-28
1013223494 Jennifer Peterson Assisted Living Facility 4160 Clark College Dr., Dallas, TX 75241 2010-08-24
1639481963 Jennifer May Peterson Massage Therapist 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 2010-07-01
1992937650 Jennifer Christine Peterson Occupational Therapist 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 2009-08-13
1891963401 Jennifer Peterson Massage Therapist 6424 158th Street Ct E, Puyallup, WA 98375-7410 2008-02-16

Office Location

Street Address 777 PARK AVE W
City HIGHLAND PARK
State IL
Zip Code 60035-2433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609817220 Northshore University Healthsystem General Acute Care Hospital 777 Park Ave W, Highland Park, IL 60035-2433 2006-06-08
1891325486 Erin Kathryn Kieny Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2020-01-22
1386288660 Erika Tone Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2019-10-30
1811543937 Lauren Rose Boivin Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2019-08-14
1255831426 Andrea Fonacier Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2018-02-14
1518470657 Jacqueline Yen Lam Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2017-11-12
1578088852 Jessica Marie Zinnen Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2017-08-08
1699205724 Claire Emery Hailey Pediatrics 777 Park Ave W, Highland Park, IL 60035-2433 2017-06-12
1164959342 Karyn Michelle Gerstle Pediatrics 777 Park Ave W, Highland Park, IL 60035-2433 2017-05-18
1568907830 Atara Schayer Dietitian, Registered 777 Park Ave W, Highland Park, IL 60035-2433 2016-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140006 Julian Jay Freeman Internal Medicine 1954 1st St., Suite 263, Highland Park, IL 60035 2019-05-22
1851838858 Melissa Block Lactation Consultant, Non-RN 303 Sheridan Road, Highland Park, IL 60035 2017-01-27
1750838280 Megan Hyatt Physical Therapist Central Parkway, Store #210, Highland Park, IL 60035 2016-09-01
1962865907 Timothy C Dennis Counselor 1724 1st St., Nicasa, Highland Park, IL 60035 2016-03-29
1821458027 Sarah Marie Pinger Counselor 1724 1st Street, Highland Park, IL 60035 2016-03-01
1508262775 Jennifer Francis Gilbert Social Worker 1067 Centerfield Court, Highland Park, IL 60035 2014-11-14
1588070148 Hpoms Clinic/Center 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 2014-07-03
1477974152 Mtca Psychological Services of Illinois P.C. Psychologist 1651 Richfield Avenue, Highland Park, IL 60035 2013-12-23
1760819510 Linda Beth Greco Social Worker 274 Linden Park Place, Highland Park, IL 60035 2013-10-10
1770821373 Eve Cooper Agin Counselor 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 2013-01-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750867396 Laura Strohm Physician Assistant 777 Park Ave W # B-131a, Highland Park, IL 60035-2433 2018-07-17
1477672061 Rebecca Kolko Friedlander Physician Assistant 777 Park Ave W Ste B131a, Highland Park, IL 60035-2497 2007-03-28
1821178518 Amy Abdelnour Davisson Physician Assistant 15119 Woodward Ave, Highland Park, MI 48203-2907 2006-10-17
1811965973 Sharon Denise Fellingham Physician Assistant 767 Park Ave West Suite #350, Park Ave. Associates In Internal Medicine, Highland Park, IL 60035 2006-03-14
1154931350 Brittany Elizabeth Ells Physician Assistant 737 Saint Johns Ave, Highland Park, IL 60035-4650 2020-08-03
1982236659 Jenelle Dewald Physician Assistant 777 Park Ave W Ste B131a, Highland Park, IL 60035-2433 2020-02-10
1891325486 Erin Kathryn Kieny Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2020-01-22
1386288660 Erika Tone Physician Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2019-10-30
1942853304 Cynthia Stamelos Physician Assistant 777 Park Ave W Ste B131a, Highland Park, IL 60035-2433 2019-07-24
1841776275 Denver M Smith Physician Assistant 767 Park Ave W, Highland Park, IL 60035-2400 2018-07-18
Find all providers in HIGHLAND PARK

Competitor

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City HIGHLAND PARK
Zip Code 60035

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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