Petersen, Jessica Rae
Petersen, Jessica Rae is an individual health care provider with primary practice located at 5170 W 95Th St , Oak Lawn IL 60453-2458. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Petersen, Jessica Rae can be contacted via phone (708) 422-3300.Contact Information
Primary practice address
5170 W 95Th St
Oak Lawn IL 60453-2458
Phone: (708) 422-3300
Fax: (708) 422-3303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038.011324 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 038011324 | Illinois |
Profile Details
| NPI number | 1346480324 |
|---|---|
| LBN Legal business name | Petersen, Jessica Rae |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2009 |
| Last updated | Feb 18th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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