Theresa R. Peter, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011774 Issued in IL

Legal business name

THERESA R. PETER, P.C.

Doing business as

Health Up Wellness Center

Practice address

3950 N Lowell Ave
Chicago, IL 60641-2841

Phone

(773) 481-3950

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Renee Peter, D.C., M.S.NPI 1356020069

Title

Owner/President

Phone

(815) 385-1851

Specialties & licenses 1

Addresses

Other names 1

• Health Up Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Renee Peter, DC, MS, CFMP

  • Chiropractor
  • Lakewood Ranch, FL
  • NPI 1356020069
  Authorized official Same address or phone

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1932656683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 N LOWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412841",
            "telephone_number": "773-481-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N LOWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412841",
            "telephone_number": "773-481-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA R. PETER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "815-385-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Up Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.