Petrie Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038004367 Issued in IL

Legal business name

PETRIE CHIROPRACTIC CLINIC

Practice address

315 S Peoria Ave
Dixon, IL 61021-2956

Phone

(815) 288-3614

Fax

(815) 285-3525

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia J Petrie, D.C.NPI 1255336764

Title

Owner

Phone

(815) 288-3614

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Petrie, D.C.

  • Chiropractor
  • Dixon, IL
  • NPI 1255336764
  NPD (past) Authorized official
• Laura C. Petrie, D.C.

  • Chiropractor
  • Dixon, IL
  • NPI 1003865155
  NPD (past)
• Michael Arlyn Petrie, D.C.

  • Chiropractor
  • Iowa City, IA
  • NPI 1902174881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1073566519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S PEORIA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212956",
            "telephone_number": "815-288-3614",
            "fax_number": "815-285-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S PEORIA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212956",
            "telephone_number": "815-288-3614",
            "fax_number": "815-285-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRIE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-288-3614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038004367",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "5282006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Sue Perino, MS CCC-SLP
• Les Perkowski, D.O.
• Michelle Kay Petersen
• Tiffany Petersen, RBT
• David Peterson, DDS
• Laura C. Petrie, D.C.
• Patricia Petrie, D.C.
• Alexis Pfeiffer, QMHP
• Valarie Pfoutz, APN
• Abigail Phelps

• Chiropractor in Dixon, IL
• Providers in Dixon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.