Katherine Elisabeth Peters, PA-C
Physician Assistant, Surgical in Skokie, IL. Individual provider (NPI-1).
NPI number1710690623
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1710690623
- Entity type
- Individual (NPI-1)
- Name
- Katherine Elisabeth Peters
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2023
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 085.010294 | IL | Yes |
| 363A00000X | Physician Assistant | 085.010294 | IL |
Practice location
9650 Gross Point Rd Ste 3900Skokie, IL 60076-5085
Phone 847-570-1700 · Fax 847-982-1098
Mailing address
9650 Gross Point Rd Ste 3900Skokie, IL 60076-5085
Phone 847-570-1700 · Fax 847-982-1098
Other practice locations
3437 Caroline St
Saint Louis, MO 63104-1111
Saint Louis, MO 63104-1111
Phone 314-977-8641
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