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DR. MICHAEL J PETERSEN MD
NPI 1518974153
Podiatrist in Mchenry, IL

Active since August 02, 2006
3922 MERCY DR, MCHENRY, IL 60050(815) 344-4499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Petersen Md NPPES

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

DR. MICHAEL J PETERSEN MD (NPI 1518974153) is an individual podiatrist in Mchenry, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1518974153
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MICHAEL J PETERSENCredential: MD
Location Address3922 MERCY DRMchenry, IL 60050-3151
Mailing Address3922 Mercy DrMchenry, IL 60050-3151 · (815) 344-4499
Phone(815) 344-4499
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518974153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3922 MERCY DR, Mchenry, IL 60050
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Other Identifiers 3

Medicare UPINT35300
Medicaid016002938 1IL
Medicare ID-Type Unspecified214660 K20089IL

Other Providers at the Same Location NPPES 20

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

DR. ROBERT W SCHWANER MD
Emergency Medicine
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 344-4499
TAYLOR N. BELO PTA
Physical Therapy Assistant
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 344-4499
SYED OMMAR HASSAN MD
Family Medicine
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 344-4499
SARAH C AL-SALIM AUD
Audiologist
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 356-2061
JAKOB CHRISTOPHER THORUD DPM
Podiatrist
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 578-2020
DR. MARIA F VLAHOS MD
Family Medicine
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 344-4499
LAUREN E. LOBACK PTA
Physical Therapy Assistant
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 344-3700
DR. PAUL H DEHAAN MD
Orthopaedic Surgery (Hand Surgery)
3922 MERCY DR
MCHENRY, IL 60050
McHenry County (815) 344-4499

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1518974153. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Michael Petersen located?

Michael Petersen practices at 3922 Mercy Dr, Mchenry, IL 60050. The listed phone number is (815) 344-4499.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.