Dan Peterson, LTD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005898 Issued in IL

Legal business name

DAN PETERSON, LTD

Practice address

445 W Jackson Ave
Suite 206
Naperville, IL 60540-5256

Phone

(630) 420-2596

Fax

(630) 420-2597

NPI assigned

Sep 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan Chad Peterson

Title

Owner

Phone

(630) 420-2596

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1447408109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W JACKSON AVE",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405256",
            "telephone_number": "630-420-2596",
            "fax_number": "630-420-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W JACKSON AVE",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405256",
            "telephone_number": "630-420-2596",
            "fax_number": "630-420-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN PETERSON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-420-2596"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.