Jessica Rae Petersen, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011324 Issued in IL

Practice address

5170 W 95TH St
Oak Lawn, IL 60453-2458

Phone

(708) 422-3300

Fax

(708) 422-3303

NPI assigned

Mar 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jessica Petersen DC LTD

  • Chiropractor
  • Oak Lawn, IL
  • NPI 1205220738
  Medicare reassignment Authorized official
• Advanced Medical & Wellness of Spring Hill, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carpentersville, IL
  • NPI 1366408387

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1346480324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532458",
            "telephone_number": "708-422-3300",
            "fax_number": "708-422-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532458",
            "telephone_number": "708-422-3300",
            "fax_number": "708-422-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011324",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennille Perry, LPC
• Shibu Porinchu Perumbully, PTA
• Kevin Louis Petermann, M.D.
• Alyssa Peters
• Benjamin Obadiah Peters, DO
• Julia Peterson, DNP, AGACNP-BC
• Megan Peterson, PT, DPT
• Susan N Peterson, RPH
• Karen L. Petracek, PA-C
• Amy Petraglia, DPT

• Chiropractor in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.