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
Fax: (708) 422-3303
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers