| Dr Kelissa L Peterson, DMD | |
|
318 N Bloomington St, Streator, IL 61364-2218 | |
| (815) 672-2647 | |
| (815) 672-5201 |
| Full Name | Dr Kelissa L Peterson |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 318 N Bloomington St, Streator, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861047284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019032290 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelissa L Peterson, DMD 2632 N 3739th Rd, Sheridan, IL 60551-9474 Ph: (815) 207-9735 | Dr Kelissa L Peterson, DMD 318 N Bloomington St, Streator, IL 61364-2218 Ph: (815) 672-2647 |
Dr. Earl Ernst Woeltje Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 712 N Bloomington St, P.o. 516, Streator, IL 61364 Phone: 815-672-2195 | |
Dr. James Jerome Beagle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 N Bloomington St, Streator, IL 61364 Phone: 815-672-3360 | |
Dr. Brian M. Hughes, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 911 N Bloomington St, Streator, IL 61364 Phone: 815-672-0535 Fax: 815-672-6468 | |
Dr. Marie Louise Onesto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 N Bloomington St, Streator, IL 61364 Phone: 815-672-2647 Fax: 815-672-5201 | |
Dr. Brendan David Graham, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 318 N Bloomington St, Streator, IL 61364 Phone: 815-672-2647 Fax: 815-672-5201 |