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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHAN E PETERSON DC
NPI 1558112326
Chiropractor in Chicago, IL

Active since March 29, 2024
1209 W GRACE ST, CHICAGO, IL 60613(785) 979-0690 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Feb 26, 2025 (2 updates tracked since 2025).

About Ethan E Peterson Dc NPPES

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

ETHAN E PETERSON DC (NPI 1558112326) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038.024501) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1558112326
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN E PETERSONCredential: DC
Location Address1209 W GRACE STChicago, IL 60613-2805
Mailing Address1209 W Grace StChicago, IL 60613-2805 · (785) 979-0690
Phone(785) 979-0690
Sole ProprietorNo
Enumeration DateMarch 29, 2024
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1558112326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.024501
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.
1209 W GRACE ST, Chicago, IL 60613
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Other Providers at the Same Location NPPES 4

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

DR. ERIC SCOTT SCHWARTZBERG D.C.
Chiropractor
1209 W GRACE ST
CHICAGO, IL 60613
Cook County (773) 551-0023
SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC
Chiropractor
1209 W GRACE ST
CHICAGO, IL 60613
Cook County (772) 525-2225
ETHAN PETERSON CHIROPRACTIC PLLC
Chiropractor
1209 W GRACE ST
CHICAGO, IL 60613
Cook County (785) 979-0690
DR. KEITH E OLDING D.C.
Chiropractor
1209 W GRACE ST
CHICAGO, IL 60613
Cook County (773) 525-2225

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 Ethan Peterson's NPI number?

The NPI number for Ethan Peterson is 1558112326. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Ethan Peterson located?

Ethan Peterson practices at 1209 W Grace St, Chicago, IL 60613. The listed phone number is (785) 979-0690.

What is Ethan Peterson'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 Ethan Peterson was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.