Active NPI
Kristin Peterson, M.D.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036136507
- Practice address
- 7435 W Talcott Ave
Resurrection Em Residency
Chicago, IL 60631-3707 - Phone
- (773) 792-7921
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036136507 | IL | Primary |
Addresses
Primary practice location
7435 W Talcott Ave
Resurrection Em Residency
Chicago, IL 60631-3707
Mailing address
7435 W Talcott Ave
Resurrection Em Residency
Chicago, IL 60631-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803
5140 N California Ave
Chicago, IL 60625-3645
Hospital & facility affiliations
- Swedish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036136507 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Emergency Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America - Illinois, LLP | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Wyse Eyecare SC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846
9532 Eagle Way
Chicago, IL 60678
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1295288413
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Ophthalmology Physician
- Northbrook, IL
- NPI 1316272289
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1053675140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"address_2": "RESURRECTION EM RESIDENCY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"address_2": "RESURRECTION EM RESIDENCY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707",
"telephone_number": "773-792-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036136507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.