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Mary Peterson, DC
Chiropractor in Palos Heights, Illinois
NPI 1538233176

Mary Peterson is a Chiropractor based in Palos Heights, IL. Mary Peterson practices in Palos Heights, IL and has the professional credentials of DC. The NPI Number for Mary Peterson is 1538233176 and holds a License No. 2301007900 (Illinois).

The current practice location address for Mary Peterson is 7250 W College Dr, Palos Heights, IL and can be reached out via phone at 708-371-6114 and via fax at 708-371-0816.

Location: 7250 W College Dr, Palos Heights, IL, 60463-1151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538233176
Provider Name
Mary Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
7250 W College Dr, Palos Heights, IL, 60463-1151
Phone Number
708-371-6114
Fax Number
708-371-0816
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950G010660 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
7250 W College Dr
City
Palos Heights
State
Illinois
Zip
60463-1151
Phone Number
708-371-6114
Fax Number
708-371-0816
person
Provider Business Mailing Address Details
Address
7250 W College Dr
City
Palos Heights
State
Illinois
Zip
60463-1151
Phone Number
708-371-6114
Fax Number
708-371-0816
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104556711 (Virginia)
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
2301007900 (Michigan)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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