Search › Illinois › 111NS0005X
Glen Peterson, D.C
NPI 1437209418 · on the registry since 2007
Practice
- Address
- 501 1st St
La Salle, IL 61301 - Phone
- (815) 223-4201
- Fax
- (814) 223-4210
- Organisation at this address
- Illinois Valley Chiropractic, Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111NS0005X
111NS0005X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois