What is Tim Petersen's NPI number?

Tim Petersen's National Provider Identifier (NPI) is 1689113680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tim Petersen's specialty?

Tim Petersen is listed in the NPPES registry with a primary specialty of Driver (Other Service Providers).

Where is Tim Petersen located?

Tim Petersen's practice location on file with NPPES is 32059 N State Route 97, Fairview, IL 61432-9643.

What is Tim Petersen's phone number?

The practice phone number listed in the NPPES registry for Tim Petersen is (309) 414-2155.

Is Tim Petersen's NPI active?

Yes — Tim Petersen's NPI (1689113680) is active in the NPPES registry as of the last update on 2017-02-23.

IndividualActive

Tim Petersen

NPI 1689113680 · Driver · Fairview, IL

Tim Petersen is a Driver provider in Fairview, IL (NPI 1689113680).

Provider details

NPI number: 1689113680
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No
License: P362-8106-6065 (IL)

Specialties & taxonomies

DriverPrimary172A00000XLicense P362-8106-6065 (IL)
Other Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

32059 N State Route 97

Fairview, IL 61432-9643

Phone: (309) 414-2155

Street-level locationGet directions

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Mailing address