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PETERSON CHIROPRACTIC, PC
NPI 1962697672
Chiropractor in Palos Park, IL

Active since September 06, 2007
8702 W 124TH ST, PALOS PARK, IL 60464(708) 371-6114(708) 371-0816 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Chiropractic, Pc NPPES

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

PETERSON CHIROPRACTIC, PC (NPI 1962697672) is a healthcare organization registered as a chiropractor in Palos Park, Illinois and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Palos Heights and lists Mary Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1962697672
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSON CHIROPRACTIC, PC
Location Address8702 W 124TH STPalos Park, IL 60464-1828
Mailing Address8702 W 124th StPalos Park, IL 60464-1828 · (708) 371-6114 · Fax (708) 371-0816
Phone(708) 371-6114
Fax(708) 371-0816
Organization SubpartNo
Authorized OfficialMary PetersonPresident · (708) 371-6114
Enumeration DateSeptember 6, 2007
Last NPPES UpdateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1962697672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301007900
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.
8702 W 124TH ST, Palos Park, IL 60464
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Other Names 1

Other NameGreat Lakes Health & Wellness, Sc

Secondary Practice Location 1

Location 17250 W College Dr Ste 1SwPalos Heights, IL 60463-1393 · Phone (708) 371-6114 · Fax (708) 371-0816

Other Identifiers 1

Other0N94490MI · Medicare Group Number

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

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 Chiropractic, PC's NPI number?

The NPI number for Peterson Chiropractic, PC is 1962697672. It was assigned to this organization in the NPPES registry on September 6, 2007. The provider is also known as Great Lakes Health & Wellness, SC.

Where is Peterson Chiropractic, PC located?

Peterson Chiropractic, PC is located at 8702 W 124th St, Palos Park, IL 60464. The listed phone number is (708) 371-6114.

What is Peterson Chiropractic, PC'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 Chiropractic, PC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.