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DR. JON FREDRICK PETERSEN M.D.
NPI 1285621516
Preventive Medicine - Occupational Medicine in Decatur, IL

Active since October 03, 2005
1750 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-1440(217) 464-1469 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jon Fredrick Petersen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON FREDRICK PETERSEN M.D. (NPI 1285621516) is an individual occupational medicine provider in Decatur, Illinois, licensed in Illinois (036129728) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1285621516
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. JON FREDRICK PETERSENCredential: M.D.
Location Address1750 E LAKE SHORE DRDecatur, IL 62521-3803
Mailing Address1750 E Lake Shore DrDecatur, IL 62521-3803 · (217) 464-1440 · Fax (217) 464-1469
Phone(217) 464-1440
Fax(217) 464-1469
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateOctober 12, 2016
✔ NPI 1285621516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in IL · 036129728
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036129728 (IL)
1750 E LAKE SHORE DR, Decatur, IL 62521
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN141780003
Other250766Healthlink

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JATOI CLINIC, LTD.
Medical Genetics, Ph.D. Medical Genetics
1750 E LAKE SHORE DR, SUITE 100
DECATUR, IL 62521
Macon County (217) 464-2505
JOHN JOSEPH WHITE MD
Surgery
1750 E LAKE SHORE DR, STE 200
DECATUR, IL 62521
Macon County (217) 428-6300
VIKRAM S KOTWAL M.D
Internal Medicine (Gastroenterology)
1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521
Macon County (217) 464-1220
DR. KEITH LEWIS FABRIQUE MD
Preventive Medicine (Occupational Medicine)
1750 E LAKE SHORE DR, LOWER LEVEL
DECATUR, IL 62521
Macon County (217) 425-2732
ANTONIANNETTE PATE FNP-C
Nurse Practitioner (Family)
1750 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-1440
EMILYE JESSICA GRANT PHYSICIAN ASSISTANT
Physician Assistant
1750 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-1750
DR. VIKRAM BARPUJARI M.D.
Internal Medicine (Gastroenterology)
1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521
Macon County (217) 464-1220
DR. DAVID W HAYMES JR. MD
Plastic Surgery
1750 E LAKE SHORE DR, SUITE 300
DECATUR, IL 62521
Macon County (217) 464-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Petersen's NPI number?

The NPI number for Jon Petersen is 1285621516. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Jon Petersen located?

Jon Petersen practices at 1750 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-1440.

What is Jon Petersen's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

When was this NPI record last updated?

The NPPES record for Jon Petersen was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.