Jon Petersen, M.D.

Individual Active
NPI 1285621516
Occupational Medicine Physician Decatur, IL

Jon Petersen, M.D. is an occupational medicine physician practicing in Decatur, IL. The NPI was issued on October 3, 2005, and the record was last updated in NPPES on October 12, 2016. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2016. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Occupational Medicine Physician Primary 2083X0100X 036129728 (IL)
Family Medicine Physician 207Q00000X 036129728 (IL)

Practice location

1750 E Lake Shore Dr
Decatur, IL 62521-3803
Phone: (217) 464-1440

Local context

Active NPPES records list 3 providers with occupational medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 101 in Illinois and 3,251 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Jon Fredrick Petersen
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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