Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689113680 Individual Practitioner Male Practitioner

Tim Petersen

Driver • Fairview, IL

Professional Overview & Biography Verified Profile Summary

Tim Petersen is a registered healthcare professional specializing in Driver in Fairview, IL. Practice services are available at 32059 N STATE ROUTE 97 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

32059 N State Route 97

Fairview, IL 614329643

Telephone 3094142155

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Fairview, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Fairview, IL (286 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License IL P362-8106-6065

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2017

Registered at 32059 N STATE ROUTE 97, FAIRVIEW, IL 614329643 (Tel: 3094142155)

📍
Updated Business Mailing Address February 23, 2017

Registered at 32059 N STATE ROUTE 97, FAIRVIEW, IL 614329643 (Tel: 3094142155)

👤
Provider Name / Credentials Updated February 23, 2017

Recorded as TIM PETERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Driver (License #P362-8106-6065 in IL)

🟢
Initial NPI Registration & Enumeration February 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689113680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2017
Last Update: February 23, 2017
Sole Proprietor: No

Mailing Address

32059 N State Route 97

Fairview, IL 614329643

Phone: 3094142155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.