Individual provider · Type 1 NPI
Todd William Hathaway Peterson, DC
Chiropractor · Chicago, IL
NPI number
1336580893
Active
Practice location
954 W Washington Blvd Ste 610
Chicago, IL 60607-2293
Fax (312) 429-7102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038012711 (IL) |
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.
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About NPI 1336580893
Todd William Hathaway Peterson, DC's National Provider Identifier is 1336580893, issued on Jul 12, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.