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MR. MICHAEL ROBERT PEFFER DC
NPI 1841216736
Chiropractor in Bloomington, IL

Active since July 14, 2006
1014 EKSTAM DR STE 104, BLOOMINGTON, IL 61704(309) 661-0414(309) 661-8697 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Robert Peffer Dc NPPES

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

MR. MICHAEL ROBERT PEFFER DC (NPI 1841216736) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038-006953) and active in the NPI registry since July 2006. He is a graduate of Logan College Of Chiropractic (1991).

NPPES Registry Identity

NPI1841216736
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. MICHAEL ROBERT PEFFERCredential: DC
Location Address1014 EKSTAM DR STE 104Bloomington, IL 61704-6382
Mailing Address118 Westshore DrMorton, IL 61550-1315 · (309) 397-4134
Phone(309) 661-0414
Fax(309) 661-8697
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1991
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 28, 2017
✔ NPI 1841216736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-006953
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.
1014 EKSTAM DR STE 104, Bloomington, IL 61704
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Other Identifiers 2

Medicare ID-Type Unspecified210759IL · Provider #
Other5732069IL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Robert Peffer Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971552027
PECOS Enrollment IDI20050117000096

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 Michael Peffer's NPI number?

The NPI number for Michael Peffer is 1841216736. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Michael Peffer located?

Michael Peffer practices at 1014 Ekstam Dr Ste 104, Bloomington, IL 61704. The listed phone number is (309) 661-0414.

What is Michael Peffer's specialty?

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

Is Michael Peffer enrolled in Medicare?

Yes. Michael Peffer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Peffer was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.