MEDICARE: C.G.PETERS LLC

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	208D00000X	General Practice Physician	036107020	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215021647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C.G.PETERS LLC

Provider Business Mailing Address
First Line	:	PO BOX 276
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-0276
Country	:	US
Telephone Number	:	708-389-9226
Fax Number	:	708-389-2004

Provider Business Practice Location Address
First Line	:	13305 S RIDGELAND AVE
Second Line	:	UNIT B
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1808
Country	:	US
Telephone Number	:	708-389-9226
Fax Number	:	708-389-2004

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CONSTANTINE G PETERS
Credential	:	D.O.
Telephone Number	:	708-389-9226

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	04/04/2012

Similar Medicare Providers

1669036331 — CORINNE SADECKI-LUND APRN
Practice Location Address:

13305 S RIDGELAND AVE
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-361-6714
Practice Fax: 708-361-9514

1518909829 — OSWIECIMSKI, LTD
Practice Location Address:

13305 S RIDGELAND AVE , UNIT A
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-388-0999
Practice Fax: 708-388-0992

1588721971 — KAREN L. OPFERMAN, D.D.S., P.C.
Practice Location Address:

13305 S RIDGELAND AVE , UNIT D
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-239-7700
Practice Fax: 708-239-7719

1861656423 — KAREN LYNN MURPHY D.D.S.
Practice Location Address:

13305 S RIDGELAND AVE , UNIT D
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-239-7700
Practice Fax: 708-239-7719

1841907532 — YANIZ A RAYO MA
Practice Location Address:

13305 S RIDGELAND AVE
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-907-5149
Practice Fax: 708-907-5294

1730891482 — MARK REYES SR.
Practice Location Address:

13305 S RIDGELAND AVE
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-907-5149
Practice Fax:

Directions to “C.G.PETERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.