Doctor profile · Federal record
Dr. Jon Petersen, M.D.
Occupational Medicine Physician · Family Medicine Physician · Decatur, IL
- NPI 1285621516
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1750 E Lake Shore Dr
Decatur, IL 625213803
(217) 464-1440
fax (217) 464-1469
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- October 12, 2016
- Specialty taxonomy
- 2083X0100X — NUCC code
- State license (1)
- Illinois #036129728
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285621516. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$43,200
Transactions
24
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CSL Plasma Inc. | 24 | $43,200.00 |
By nature of payment
Frequently asked questions
What is Dr. Jon Petersen's medical specialty?
Dr. Jon Petersen practices Occupational Medicine Physician in Decatur, IL.
Where does Dr. Jon Petersen practice?
Dr. Jon Petersen practices at 1750 E Lake Shore Dr, Decatur, IL 625213803. Office phone: 2174641440.
What is Dr. Jon Petersen's NPI?
Dr. Jon Petersen's National Provider Identifier (NPI) is 1285621516, issued by NPPES.