Peterson, Mary

Peterson, Mary is an individual health care provider with primary practice located at 7250 W College Dr Suite 1Sw, Palos Heights IL 60463-1151. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist. Chiropractic Providers / Chiropractor is her primary health care specialty. Peterson, Mary can be contacted via phone (708) 371-6114.

Contact Information

Primary practice address
7250 W College Dr Suite 1Sw Palos Heights IL 60463-1151
Phone: (708) 371-6114
Fax: (708) 371-0816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301007900 Michigan
Chiropractic Providers / Chiropractor 111N00000X 0104556711 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X 212.000204 Illinois
Chiropractic Providers / Chiropractor 111N00000X 038.008605 Illinois

Profile Details

NPI number 1538233176
LBN Legal business name Peterson, Mary
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 2nd, 2022 - about 2 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 1538233176 NPPES
Michigan Other 950G010660 BCBS

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