NPI
Petersen Health Properties, Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-06-02
- Last updated
- 2019-12-31
Specialties
Licenses
- License IL
- 0043562
Location
- Practice location
- 995 State Route 127 S, Box B
- City
- Jonesboro IL
- Postal code
- 62952-2423
- Phone
- (618) 833-7093
Organization contact
- Name
- MARK PETERSEN
- Title
- Manager
- Phone
- 3096918113
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jonesboro, IL. 21 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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