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PETERSON HEALTH CLINIC LLC
NPI 1376813378
Chiropractor in Fairview Heights, IL

Active since January 06, 2012
815 LINCOLN HIGHWAY, SUITE 109, FAIRVIEW HEIGHTS, IL 62208(618) 589-3911(618) 589-3912 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Health Clinic Llc NPPES

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

PETERSON HEALTH CLINIC LLC (NPI 1376813378) is a healthcare organization registered as a chiropractor in Fairview Heights, Illinois and active in the NPI registry since January 2012. The organization lists Ronald G Peterson, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1376813378
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSON HEALTH CLINIC LLC
Location Address815 LINCOLN HIGHWAY, SUITE 109Fairview Heights, IL 62208
Mailing Address815 Lincoln Highway, Suite 109Fairview Heights, IL 62208 · (618) 589-3911 · Fax (618) 589-3912
Phone(618) 589-3911
Fax(618) 589-3912
Organization SubpartNo
Authorized OfficialRonald G PetersonOwner/physician · (618) 589-3911
Enumeration DateJanuary 6, 2012
Last NPPES UpdateDecember 15, 2015
✔ NPI 1376813378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IL · 248.000537✔ Licensed in IL · 038.012069
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.
815 LINCOLN HIGHWAY, Fairview Heights, IL 62208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANERA TOTAL VISION CARE, LLC
Optometrist
815 LINCOLN HIGHWAY, SUITE #104
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (618) 628-8868

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 Peterson Health Clinic LLC's NPI number?

The NPI number for Peterson Health Clinic LLC is 1376813378. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Peterson Health Clinic LLC located?

Peterson Health Clinic LLC is located at 815 Lincoln Highway Suite 109, Fairview Heights, IL 62208. The listed phone number is (618) 589-3911.

What is Peterson Health Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Peterson Health Clinic LLC was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.