MEDICARE: AARON PETERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	150.117634	IL
2	104100000X	Social Worker	150.117634	IL

General Provider Information

NPI Number	:	1013849595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON PETERSON

Provider Business Mailing Address
First Line	:	928 WOOD ROSE DR
Second Line	:
City	:	VOLO
State	:	IL
Zip	:	60073-1609
Country	:	US
Telephone Number	:	224-733-5812
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 WASHINGTON BLVD STE 201
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-3104
Country	:	US
Telephone Number	:	847-566-0164
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ AARON PETERSON ” Practice Location

Language	Start Address	Practice Location

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