Joyce Shirley Peterson | Oregon, IL • PECOS Search

Joyce Shirley Peterson

Counselor

Behavioral Health & Social Service Providers

125 S 4th St, Oregon, IL 61061-1609

(815) 732-3157 (815) 684-5428

PECOS Enrollment

Based on the most recent information from CMS, provider Joyce Shirley Peterson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1578682332
Provider Type
Individual
Full Name
Peterson, Joyce Shirley
Title
Mrs.
Credential
RN

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2007
Last Updated
7/8/2007

Contact Information

Practice Location

125 S 4th St, Oregon, IL 61061-1609

Unlisted Fax

Mailing Location

56 Wilson Ave, Chadwick, IL 61014-9361

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer