JESSICA PETERSEN DC LTD (NPI# 1205220738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205220738 |
| Entity Type | Organization |
| Organization Name | JESSICA PETERSEN DC LTD |
| Practice Address |
4907 W 95th St Oak Lawn IL 60453-2503 |
| Practice Telephone | 7084223300 |
| Practice Fax Number | 7084223303 |
| Mailing Telephone | 7084223300 |
| Mailing Fax Number | 7084223303 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | DR. JESSICA R PETERSEN (OWNER) |
| Authorized Official Telephone | 7084223300 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038011324 | IL | Chiropractic Providers |
| Street Address |
4907 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922199629 | Gerald E Helwig | Chiropractor | 4907 W 95th St, Oak Lawn, IL 60453-2503 | 2006-09-27 |
| 1962895060 | Yogesh Jain | Physical Therapist | 4907 W 95th St, Oak Lawn, IL 60453-2503 | 2015-03-12 |
| 1346480324 | Jessica Rae Petersen | Chiropractor | 4907 W 95th St, Oak Lawn, IL 60453-2503 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295881639 | Robert E Butt | Chiropractor | 5116 W 95th St, Oak Lawn, IL 60453-2458 | 2007-01-26 |
| 1538210224 | George A Georgelos | Chiropractor | 5505 W 95th Street, Oak Lawn, IL 60453 | 2007-01-16 |
| 1992867725 | Desmond J Martello | Chiropractor | 10644 S Cicero Ave, Oak Lawn, IL 60453-5268 | 2006-12-15 |
| 1952463093 | Rory James Marrello | Chiropractor | 10250 Central Ave, Oak Lawn, IL 60453-4602 | 2006-12-14 |
| 1659469807 | John Albert Kulig | Chiropractor | 10444 S Central, Oak Lawn, IL 60453 | 2006-10-11 |
| 1922199629 | Gerald E Helwig | Chiropractor | 4907 W 95th St, Oak Lawn, IL 60453-2503 | 2006-09-27 |
| 1457360547 | Stephen Daniel Perakis | Chiropractor | 4615 W 103rd St, Oak Lawn, IL 60453-4718 | 2006-08-07 |
| 1255348116 | Caroline Mulhall | Chiropractor | 9025 Nashville Ave, Oak Lawn, IL 60453-1458 | 2006-08-02 |
| 1043667199 | Back and Neck Pain Relief of Oak Lawn | Chiropractor | 4550 W 103rd St, Ste 3b, Oak Lawn, IL 60453-4866 | 2016-05-18 |
| 1861883647 | Oak Lawn Pain and Wellness Inc | Chiropractor | 10250 Central Ave, Oak Lawn, IL 60453-4602 | 2015-02-14 |
| Find all providers in OAK LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.