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Individual
DR. PETER NEOFOTISTOS
Active
Individual
DR. PETER NEOFOTISTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012580
IL
111NR0400X
Rehabilitation Chiropractor
038012580
IL
111NS0005X
Sports Physician Chiropractor
038012580
IL
111NX0100X
Occupational Health Chiropractor
038012580
IL
Other
Enumeration date
01/23/2014
Last updated
09/05/2025
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