ETHAN E PETERSON

CHICAGO, IL
NPI1558112326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038.024501)
Enumeration Date2024-03-29
Last Update Date2026-08-31
Business Address
ETHAN E PETERSON DC
1209 W GRACE ST
CHICAGO, IL 60613-2805
Phone number: 785-979-0690
Mailing Address
ETHAN E PETERSON DC
1209 W GRACE ST
CHICAGO, IL 60613-2805
Phone number: 785-979-0690