MR. WILLIAM HARRELD PETERSON (PA-C) – Physician Assistant, NPI 1164482212

MR. WILLIAM HARRELD PETERSON (PA-C) is a healthcare provider. based in Round lake beach, Illinois. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2000-PA22 (NM). The NPI Number for MR. WILLIAM HARRELD PETERSON (PA-C) is 1164482212

Main info

Male
Name
MR. WILLIAM HARRELD PETERSON (PA-C)
NPI
1164482212
Phone
(847) 688-6755
Address
1313 PINE GROVE AVE
Enumeration Date
24 March 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. WILLIAM HARRELD PETERSON (PA-C)

  • 1313, North Pine Grove Avenue, Rollins, Round Lake Beach, Lake County, Illinois, 60073, United States

    ROUND LAKE BEACH, IL 600732152

    Phone: (847) 688-6755

    Type: Mailing

  • 3420, Illinois Street, Great Lakes, North Chicago, Lake County, Illinois, 60088, United States

    USS TRANQUILITY MEDICAL CLINIC 1007

    GREAT LAKES, IL 600885230

    Phone: (847) 688-6755

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60073)

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Reviews

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Frequently asked questions

Is MR. WILLIAM HARRELD PETERSON (PA-C) listed with a National Provider Identifier?
Yes — MR. WILLIAM HARRELD PETERSON (PA-C) has NPI 1164482212 on file in the registry.
Would MR. WILLIAM HARRELD PETERSON (PA-C) appear as active to a payer?
You can treat MR. WILLIAM HARRELD PETERSON (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. WILLIAM HARRELD PETERSON (PA-C)?
MR. WILLIAM HARRELD PETERSON (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. WILLIAM HARRELD PETERSON (PA-C) located near Round Lake Beach?
MR. WILLIAM HARRELD PETERSON (PA-C) currently maps to Round Lake Beach, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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