Active NPI 1114030384 Individual Practitioner Male Practitioner

Dr. Mark E Peterson , MD

Internal Medicine • Oswego, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Peterson, MD is a certified Internal Medicine practicing in Oswego, IL. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Peterson delivers high-quality medical care to the local community at 80 TEMPLETON DR.

Dr. Peterson is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

80 Templeton Dr

Oswego, IL 605437000

Telephone 6305543456

Associated Practice Facility / Clinic

🏢 Dreyer Clinic, Inc Facility NPI 1861866857

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Oswego, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -2.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Oswego, IL (7544 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (25 Years) 25 Yrs

Oswego Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	651	390	$22.00	$8.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	575	344	$279.00	$120.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	352	352	$332.00	$121.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	342	248	$35.00	$15.77
99213 Established patient office or other outpatient visit, typically 15 minutes	213	186	$198.00	$85.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	18	$61.00	$13.47
G0008 Administration of influenza virus vaccine	104	103	$60.00	$30.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	103	51	$67.00	$21.57
90662 Influenza vaccine split virus, preservative free	100	98	$125.00	$79.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	64	11	$7.00	$1.24
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$82.00	$13.29
91322 Sarscov2 vac 50 mcg/0.5ml im	37	35	$250.00	$148.61
90480 Admn sarscov2 vacc 1 dose	37	35	$85.00	$39.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	26	$168.00	$50.72
99495 Transitional care management services for problem of at least moderate complexity	31	24	$507.00	$195.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$498.00	$152.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$371.00	$149.41
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$486.11	$256.56
G0009 Administration of pneumococcal vaccine	17	17	$60.00	$29.32
93793 Anticoagulant management of patient taking warfarin	13	11	$26.00	$11.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	656	392	$22.00	$8.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	649	373	$259.00	$121.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	374	374	$316.00	$122.37
99213 Established patient office or other outpatient visit, typically 15 minutes	130	121	$178.00	$86.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	17	$61.00	$13.18
G0008 Administration of influenza virus vaccine	89	88	$53.51	$32.05
90662 Influenza vaccine split virus, preservative free	83	82	$109.01	$71.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	30	$63.00	$21.36
93000 Routine ekg using at least 12 leads including interpretation and report	56	55	$82.00	$13.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	34	$168.00	$49.59
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	43	43	$381.72	$274.96
G0009 Administration of pneumococcal vaccine	42	42	$46.57	$31.29
99495 Transitional care management services for problem of at least moderate complexity	24	21	$482.00	$194.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	14	$157.00	$39.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$474.00	$149.19
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$353.00	$158.82
99496 Transitional care management services for problem of high complexity	11	11	$679.00	$263.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	666	381	$235.10	$123.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	370	370	$316.00	$124.22
99213 Established patient office or other outpatient visit, typically 15 minutes	140	129	$161.00	$87.60
36415 Insertion of needle into vein for collection of blood sample	121	109	$22.00	$2.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	19	$61.00	$13.60
G0008 Administration of influenza virus vaccine	84	83	$41.00	$31.14
90662 Influenza vaccine split virus, preservative free	77	76	$73.00	$67.31
G0009 Administration of pneumococcal vaccine	72	72	$41.00	$30.84
93000 Routine ekg using at least 12 leads including interpretation and report	61	57	$82.00	$13.48
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	57	57	$346.00	$269.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	27	$63.00	$21.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	27	$168.00	$49.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$474.00	$154.75
99495 Transitional care management services for problem of at least moderate complexity	20	19	$482.00	$198.30
99496 Transitional care management services for problem of high complexity	20	18	$679.00	$253.26
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	19	19	$93.00	$45.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$164.00	$133.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$363.08	$162.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	605	351	$224.00	$125.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	348	348	$316.00	$127.15
99213 Established patient office or other outpatient visit, typically 15 minutes	169	155	$153.00	$89.13
G0008 Administration of influenza virus vaccine	116	116	$41.00	$17.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	22	$61.00	$13.46
90662 Influenza vaccine split virus, preservative free	99	99	$73.00	$63.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	82	82	$159.00	$120.58
G0009 Administration of pneumococcal vaccine	81	81	$41.00	$17.94
93000 Routine ekg using at least 12 leads including interpretation and report	53	50	$82.00	$14.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	47	28	$63.00	$21.19
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$474.00	$159.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	24	$168.00	$49.79
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$37.00	$17.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$353.00	$164.05
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	12	$157.00	$39.85
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	20	20	$93.00	$46.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	553	344	$211.90	$104.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	332	332	$316.00	$110.72
G0009 Administration of pneumococcal vaccine	127	127	$41.00	$17.71
99213 Established patient office or other outpatient visit, typically 15 minutes	108	102	$145.26	$72.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	99	98	$36.86	$18.73
G0008 Administration of influenza virus vaccine	95	95	$41.00	$17.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	17	$61.00	$13.79
99442 Telephone medical discussion with physician, 11-20 minutes	76	71	$102.00	$71.96
90670 Pneumococcal vaccine for injection into muscle	71	71	$318.00	$227.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	58	58	$155.97	$115.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	55	$101.09	$43.78
93000 Routine ekg using at least 12 leads including interpretation and report	51	45	$82.00	$16.55
99441 Telephone medical discussion with physician, 5-10 minutes	34	34	$63.00	$43.63
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$353.00	$155.76
99443 Telephone medical discussion with physician, 21-30 minutes	21	21	$146.00	$106.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	13	$63.00	$22.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$308.59	$141.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$474.00	$146.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	714	379	$203.12	$105.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	331	331	$316.00	$112.71
99213 Established patient office or other outpatient visit, typically 15 minutes	115	105	$136.00	$72.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	19	$61.00	$15.04
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	76	76	$35.00	$18.65
G0008 Administration of influenza virus vaccine	74	74	$41.00	$15.89
93000 Routine ekg using at least 12 leads including interpretation and report	73	63	$82.00	$16.46
G0009 Administration of pneumococcal vaccine	52	52	$41.00	$16.62
90670 Pneumococcal vaccine for injection into muscle	42	42	$318.00	$208.88
G0103 Prostate cancer screening; prostate specific antigen test (psa)	41	41	$98.00	$20.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	23	$59.47	$21.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$291.00	$142.73
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$474.00	$159.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$331.00	$161.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$349.00	$162.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	760	368	$22.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	715	373	$199.40	$103.68
80053 Blood test, comprehensive group of blood chemicals	462	338	$75.64	$12.67
80061 Blood test, lipids (cholesterol and triglycerides)	378	277	$96.00	$16.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	268	268	$316.00	$111.78
83036 Hemoglobin A1C level	259	159	$64.03	$11.63
85610 Blood test, clotting time	228	39	$34.00	$4.73
82043 Urine microalbumin (protein) level	181	112	$65.56	$6.96
82570 Creatinine level to test for kidney function or muscle injury	181	112	$46.00	$6.20
84443 Blood test, thyroid stimulating hormone (TSH)	151	110	$108.00	$20.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	122	108	$45.98	$9.26
99213 Established patient office or other outpatient visit, typically 15 minutes	102	90	$130.71	$70.85
G0103 Prostate cancer screening; prostate specific antigen test (psa)	98	98	$102.36	$22.26
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	69	69	$35.00	$18.65
G0008 Administration of influenza virus vaccine	68	68	$42.82	$21.43
83721 Ldl cholesterol level	67	54	$53.58	$11.54
81001 Manual urinalysis test with examination using microscope, automated	62	47	$27.00	$3.84
87086 Bacterial colony count, urine	56	40	$54.13	$9.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	54	54	$474.00	$163.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	12	$59.44	$19.48
80048 Blood test, basic group of blood chemicals (calcium, total)	46	35	$58.72	$10.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	39	$158.93	$52.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	41	$282.21	$141.24
93000 Routine ekg using at least 12 leads including interpretation and report	43	43	$73.23	$16.36
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	39	28	$53.36	$10.46
87088 Bacterial urine culture	37	26	$54.14	$9.79
82465 Cholesterol level	31	31	$32.00	$5.26
83718 Hdl cholesterol level	31	31	$45.10	$9.92
G0009 Administration of pneumococcal vaccine	29	29	$35.38	$21.46
90670 Pneumococcal vaccine for injection into muscle	27	27	$250.63	$197.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	17	$48.96	$18.45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$251.50	$161.50
84153 Psa (prostate specific antigen) measurement, total	22	21	$105.00	$22.26
81003 Automated urinalysis test	19	16	$20.00	$2.59
83550 Iron binding capacity	14	11	$48.07	$10.57
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$39.00	$19.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$319.57	$151.45
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	14	$26.14	$3.26
83540 Iron level	14	11	$31.71	$7.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	748	359	$22.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	669	324	$193.57	$101.99
80053 Blood test, comprehensive group of blood chemicals	484	323	$75.00	$11.35
80061 Blood test, lipids (cholesterol and triglycerides)	392	278	$96.00	$14.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	269	269	$316.00	$109.85
83036 Hemoglobin A1C level	263	141	$64.00	$12.94
82570 Creatinine level to test for kidney function or muscle injury	189	104	$46.00	$6.93
82043 Urine microalbumin (protein) level	189	104	$58.00	$7.74
85610 Blood test, clotting time	179	30	$34.00	$5.11
84443 Blood test, thyroid stimulating hormone (TSH)	134	98	$108.00	$22.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	130	103	$45.00	$10.31
99213 Established patient office or other outpatient visit, typically 15 minutes	96	81	$124.00	$69.96
G0103 Prostate cancer screening; prostate specific antigen test (psa)	92	92	$105.00	$23.98
83721 Ldl cholesterol level	77	60	$53.00	$12.83
81001 Manual urinalysis test with examination using microscope, automated	75	61	$27.00	$4.16
87086 Bacterial colony count, urine	71	58	$53.00	$10.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	56	$277.00	$138.19
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	63	62	$35.00	$18.65
G0008 Administration of influenza virus vaccine	63	62	$31.00	$26.56
80048 Blood test, basic group of blood chemicals (calcium, total)	57	40	$58.00	$11.23
G0009 Administration of pneumococcal vaccine	54	54	$31.00	$26.60
90670 Pneumococcal vaccine for injection into muscle	50	50	$211.00	$187.20
93000 Routine ekg using at least 12 leads including interpretation and report	45	44	$69.00	$15.72
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	43	34	$53.00	$11.62
87088 Bacterial urine culture	42	33	$53.00	$10.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	41	41	$206.00	$160.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$474.00	$164.61
82465 Cholesterol level	38	37	$32.00	$4.32
83718 Hdl cholesterol level	38	37	$45.00	$11.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	18	$33.89	$15.68
81003 Automated urinalysis test	31	25	$20.00	$3.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	23	$156.00	$51.69
84153 Psa (prostate specific antigen) measurement, total	26	24	$105.00	$24.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	11	$126.00	$39.50
85652 Red blood cell sedimentation rate, to detect inflammation, automated	18	18	$24.00	$3.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$315.00	$159.61
83550 Iron binding capacity	14	12	$47.00	$11.75
83540 Iron level	14	12	$31.00	$8.70
82306 Vitamin d-3 level	12	11	$215.00	$39.80
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$39.00	$21.38
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	11	11	$43.00	$8.03
85007 Microscopic examination for white blood cells with manual cell count	11	11	$29.00	$4.27

Medical Specialties & State Licenses

CMS Verified: 2021-11-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-111051

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036111051 (IL)

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

80 Templeton Dr, Oswego, IL 605437000

Phone: 6305543456

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Catherine Chu , MD

Family Medicine

NPI 1043586035

Doctor of Medicine (M.D.)

Heidi Solache , LCSW

Social Worker - Clinical

NPI 1053719989

Licensed Clinical Social Worker

Ramona Kitching , PA-C

Physician Assistant

NPI 1144238684

Physician Assistant (Certified)

Dr. Arjun Natarajan , MD

Internal Medicine - Medical Oncology

NPI 1144682642

Doctor of Medicine (M.D.)

Nicole Phelps

Pediatrics

NPI 1184086381

Stephanie Parks , PT

Physical Therapist

NPI 1194012872

Physical Therapist

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 22, 2017

Registered at 2357 SEQUOIA DR, AURORA, IL 605066222 (Tel: 6308596800)

📍

Updated Practice Location February 22, 2017

Registered at 80 TEMPLETON DR, OSWEGO, IL 605437000 (Tel: 6305543456)

👤

Provider Name / Credentials Updated February 22, 2017

Recorded as MARK PETERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Internal Medicine (License #036-111051 in IL)

✅

NPI Profile Active July 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2011

Registered at 80 TEMPLETON DR, OSWEGO, IL 605437000 (Tel: 6305543456)

📍

Updated Business Mailing Address July 15, 2011

Registered at 1870 W GALENA BLVD, AURORA, IL 605064356 (Tel: 6308596700)

👤

Provider Name / Credentials Updated July 15, 2011

Recorded as MARK PETERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2011

Internal Medicine (License #036-111051 in IL)

🟢

Initial NPI Registration & Enumeration August 15, 2006

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: 1114030384

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 15, 2006

Last Update: November 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2357 Sequoia Dr

Aurora, IL 605066222

Phone: 6308596800

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.