PH
PETERSEN HEALTH CARE - ILLINI, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
CHAMPAIGN, IL
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1619083730
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2023-07-31
Authorized official
NameMARK PETERSEN
TitlePRESIDENT
Phone2173525707
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Source: NPI Registry · Last refreshed June 24, 2026