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Organization
ETHAN PETERSON CHIROPRACTIC PLLC
Active
Organization
ETHAN PETERSON CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN E PETERSON DC (OWNER)
(785) 979-0690
Entity
Organization
Contact information
Practice address
1209 W GRACE ST, CHICAGO, IL 60613-2805
(785) 979-0690
Mailing address
1024 STONERIDGE DR, LAWRENCE, KS 66049-4771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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