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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHAN PETERSON CHIROPRACTIC PLLC
NPI 1649185521
Chiropractor in Chicago, IL

Active since August 17, 2026
1209 W GRACE ST, CHICAGO, IL 60613(785) 979-0690 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ethan Peterson Chiropractic Pllc NPPES

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

ETHAN PETERSON CHIROPRACTIC PLLC (NPI 1649185521) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since August 2026. The organization lists Ethan E Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1649185521
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameETHAN PETERSON CHIROPRACTIC PLLC
Location Address1209 W GRACE STChicago, IL 60613-2805
Mailing Address1024 Stoneridge DrLawrence, KS 66049-4771
Phone(785) 979-0690
Organization SubpartNo
Authorized OfficialEthan E PetersonOwner · (785) 979-0690
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1649185521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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
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 Chiropractic PLLC's NPI number?

The NPI number for Ethan Peterson Chiropractic PLLC is 1649185521. It was assigned to this organization in the NPPES registry on August 17, 2026.

Where is Ethan Peterson Chiropractic PLLC located?

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

What is Ethan Peterson Chiropractic PLLC'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 Chiropractic PLLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.