ROBERT D PECK (NPI# 1710009964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710009964 |
| Entity Type | Individual |
| Full Name | ROBERT D PECK |
| Credential | DC |
| Practice Address |
678 N Northwest Hwy Unit C Park Ridge IL 60068-2540 |
| Practice Telephone | 8476960040 |
| Practice Fax Number | 8476962519 |
| Mailing Telephone | 8476960040 |
| Mailing Fax Number | 8476962519 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038005202 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 1683628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839833 | Robert Peck | Nurse Anesthetist, Certified Registered | 365 Dow Rd, Orrington, ME 04474-3540 | 2016-01-19 |
| 1245515626 | Robert Joe Peck | Marriage & Family Therapist | 421 Camellia Way, Modesto, CA 95354-1521 | 2011-10-17 |
| 1306905278 | Robert Christopher Peck | Chiropractor | 1955 State Hwy 69 North, Hayesville, NC 28904 | 2006-12-07 |
| 1003874140 | Robert T Peck | Dentist | 7480 Northview St, Boise, ID 83704 | 2006-05-01 |
| 1417932633 | Robert F. Peck | Social Worker | 1255 Oaklawn Ave, Cranston, RI 02920-2649 | 2005-12-09 |
| 1700294030 | Robert J. Peck | Podiatrist | 190 1st St, Mineola, NY 11501-4011 | 2014-07-30 |
| 1225116973 | Robert S. Peck | Pediatrics | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1093890196 | Robert N Peck | Internal Medicine | Massachusetts General Hospital, 55 Fruit Street/pediatrics, Boston, MA 02114 | 2006-10-26 |
| 1730100256 | Robert Steven Peck | Anesthesiology | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2006-07-21 |
| 1427008572 | Robert Curtis Peck | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-05-11 |
| Street Address |
678 N NORTHWEST HWY UNIT C |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700286416 | Wendy Wlodyga | Contractor | 678 N Northwest Hwy, Unit C, Park Ridge, IL 60068-2540 | 2014-08-29 |
| 1982004867 | Phillip Racette | Contractor | 678 N Northwest Hwy, Unit C, Park Ridge, IL 60068-2540 | 2014-08-28 |
| 1043610181 | Pamela Hartnell | Contractor | 678 N Northwest Hwy, Unit C, Park Ridge, IL 60068-2540 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1164056172 | Ryan Michael Maxwell | Chiropractor | 1036 Higgins Rd, Park Ridge, IL 60068-5722 | 2020-02-28 |
| 1801364831 | Gavfam LLC | Chiropractor | 1032 S Chester Ave, Park Ridge, IL 60068-4666 | 2018-11-07 |
| 1841731635 | Anthony Czahor | Chiropractor | 2100 Walnut St, Park Ridge, IL 60068-1760 | 2017-03-14 |
| 1124492343 | Andrew O'neill | Chiropractor | 17 Hawthorne Ave, Park Ridge, NJ 07656-1212 | 2015-11-27 |
| 1538585864 | Caitlin Painchaud | Chiropractor | 40 N Northwest Hwy, Park Ridge, IL 60068-3329 | 2014-03-11 |
| 1538422340 | Chicago Chiropractic Associates Ltd | Chiropractor | 835 W Touhy Ave, Suite B, Park Ridge, IL 60068-3351 | 2012-06-18 |
| 1538430814 | Alex Park Dc Sc | Chiropractor | 831 W Touhy Ave, Park Ridge, IL 60068-3351 | 2012-01-19 |
| 1447451281 | Athenos Medical Diagnostics Ltd | Chiropractor | 1033 Peterson Ave, Suite 208, Park Ridge, IL 60068-5184 | 2007-05-30 |
| 1912110131 | Frank Raymond Navarra | Chiropractor | 127 Kinderkamack Rd, Park Ridge, NJ 07656-1340 | 2007-05-07 |
| 1932320330 | Grigoriou L.L.C. | Chiropractor | 128 Kinderkamack Rd, Park Ridge, NJ 07656-1353 | 2007-05-01 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on ROBERT D PECK.
| 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.