Peck, Robert D

Peck, Robert D is an individual health care provider with primary practice located at 678 N Northwest Hwy Unit C, Park Ridge IL 60068-2540. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peck, Robert D can be contacted via phone (847) 696-0040.

Contact Information

Primary practice address
678 N Northwest Hwy Unit C Park Ridge IL 60068-2540
Phone: (847) 696-0040
Fax: (847) 696-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038005202 Illinois

Profile Details

NPI number 1710009964
LBN Legal business name Peck, Robert D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Mar 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710009964 NPPES
Other 1683628 BCBS

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