Peterson Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007900 Issued in MI

Legal business name

PETERSON CHIROPRACTIC, PC

Practice address

8702 W 124TH St
Palos Park, IL 60464-1828

Phone

(708) 371-6114

Fax

(708) 371-0816

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Mary Peterson, DC

Title

President

Phone

(708) 371-6114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Lakes Health & Wellness, SC Other name

Locations

Practitioners 1

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

• Raymond Dexter Sanders, D.C.

  • Chiropractor
  • Grand Haven, MI
  • NPI 1679535512
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1962697672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 W 124TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641828",
            "telephone_number": "708-371-6114",
            "fax_number": "708-371-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 W 124TH ST",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641828",
            "telephone_number": "708-371-6114",
            "fax_number": "708-371-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 W College Dr Ste 1Sw",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631393",
            "country_code": "US",
            "telephone_number": "708-371-6114",
            "fax_number": "708-371-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETERSON CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-371-6114",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0N94490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Health & Wellness, SC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsay H Pearlman, PSY.D.
• Amanda Jane Pearson
• Shelby Perez, FNP
• Victor Perez
• Sara Perisin, AGACNP-BC
• Stacy Ann Phelps, D.C.
• Physiotherapy Associates Inc
• Renee Pinto, CDS
• Daniel H Polk, M.D.
• Michael J. Porter, M.D.

• Chiropractor in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.