Mrs Angela Sue Peters, NURSE PRACTITIONER A - Nurse Practitioner in Antioch, IL

Mrs Angela Sue Peters, NURSE PRACTITIONER A is a Nurse Practitioner - Psychiatric/mental Health based in Antioch, Illinois. Mrs Angela Sue Peters is licensed to practice in Illinois (license number 277.000596) and her current practice location is 642 Indian Ridge Dr, Antioch, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 961-2875.

NPI number for Mrs Angela Sue Peters is 1407132897 and her current mailing address is 642 Indian Ridge Dr, Antioch, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407132897.

Contact Information

Mrs Angela Sue Peters, NURSE PRACTITIONER A
642 Indian Ridge Dr,
Antioch, IL 60002
(847) 961-2875
Not Available



Provider's Profile

Full NameMrs Angela Sue Peters
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location642 Indian Ridge Dr, Antioch, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407132897
  • Provider Enumeration Date: 10/29/2011
  • Last Update Date: 08/11/2022

Medical Identifiers

Medical identifiers for Mrs Angela Sue Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407132897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209-009096 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 277.000596 (Illinois)Primary
363LA2200XNurse Practitioner - Adult Health 4674-33 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela Sue Peters is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Angela Sue Peters, NURSE PRACTITIONER A
642 Indian Ridge Dr,
Antioch, IL 60002-3102

Ph: (847) 961-2875
Mrs Angela Sue Peters, NURSE PRACTITIONER A
642 Indian Ridge Dr,
Antioch, IL 60002

Ph: (847) 961-2875

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Nurse Practitioner Nurses in Antioch, IL

Janet Racina,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1690 Club Lake Ct, Antioch, IL 60002
Phone: 630-263-2648    

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