| Ethan Peterson Chiropractic Pllc | |
|
1209 W Grace St, Chicago, IL 60613-2805 | |
| (785) 979-0690 | |
| Not Available |
| Full Name | Ethan Peterson Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1209 W Grace St, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649185521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Peterson Chiropractic Pllc 1024 Stoneridge Dr, Lawrence, KS 66049-4771 Ph: Not Available | Ethan Peterson Chiropractic Pllc 1209 W Grace St, Chicago, IL 60613-2805 Ph: (785) 979-0690 |
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