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NPI Code Detail

MEDICARE: DR. PETER PALERMO MD

MEDICARE: DR. PETER PALERMO MD
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
1207R00000XInternal Medicine Physician036-075813IL

General Provider Information

NPI Number : 1881680387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER PALERMO MD
Provider Business Mailing Address
First Line : 1860 PAYSHERE CIRCLE
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0001
Country : US
Telephone Number : 630-469-9200
Fax Number :
Provider Business Practice Location Address
First Line : 2359 HASSELL RD
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-2102
Country : US
Telephone Number : 847-843-7030
Fax Number : 847-843-2430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 10/11/2017

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