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JESSICA PETERSEN DC LTD
NPI 1205220738
Chiropractor in Oak Lawn, IL

Active since March 23, 2015
5170 W 95TH ST, OAK LAWN, IL 60453(708) 422-3300(708) 422-3303 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Jan 26, 2023 (2 updates tracked since 2023).

About Jessica Petersen Dc Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PETERSEN DC LTD (NPI 1205220738) is a healthcare organization registered as a chiropractor in Oak Lawn, Illinois and active in the NPI registry since March 2015. The organization lists Jessica R Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1205220738
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJESSICA PETERSEN DC LTD
Location Address5170 W 95TH STOak Lawn, IL 60453-2458
Mailing Address5170 W 95th StOak Lawn, IL 60453-2458 · (708) 422-3300 · Fax (708) 422-3303
Phone(708) 422-3300
Fax(708) 422-3303
Organization SubpartNo
Authorized OfficialJessica R PetersenOwner · (708) 422-3300
Enumeration DateMarch 23, 2015
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1205220738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038011324
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5170 W 95TH ST, Oak Lawn, IL 60453
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Petersen Dc Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jessica Petersen Dc Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jessica Petersen, D.C
Chiropractic
NPI 1346480324
5170 W 95TH ST
Oak Lawn, IL 60453
(708) 422-3300
Same address
Nayely Cortes, APRN, AGNP-C
Nurse Practitioner
NPI 1548947526
3348 W 87TH ST
Chicago, IL 60652
(708) 244-1950
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Petersen Dc Ltd's NPI number?

The NPI number for Jessica Petersen Dc Ltd is 1205220738. It was assigned to this organization in the NPPES registry on March 23, 2015.

Where is Jessica Petersen Dc Ltd located?

Jessica Petersen Dc Ltd is located at 5170 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 422-3300.

What is Jessica Petersen Dc Ltd's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jessica Petersen Dc Ltd enrolled in Medicare?

Yes. Jessica Petersen Dc Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jessica Petersen Dc Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jessica Petersen Dc Ltd, in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Petersen Dc Ltd was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.