| Peterson Health Clinic Llc | |
|
815 Lincoln Highway, Suite 109, Fairview Heights, IL 62208 | |
| (618) 589-3911 | |
| (618) 589-3912 |
| Full Name | Peterson Health Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 815 Lincoln Highway, Fairview Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376813378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 248.000537 (Illinois) | Primary |
| 111N00000X | Chiropractor | 038.012069 (Illinois) | Secondary |
| Provider Name | Ronald Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891064226 PECOS PAC ID: 9234398660 Enrollment ID: I20120305000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Health Clinic Llc 815 Lincoln Highway, Suite 109, Fairview Heights, IL 62208 Ph: (618) 589-3911 | Peterson Health Clinic Llc 815 Lincoln Highway, Suite 109, Fairview Heights, IL 62208 Ph: (618) 589-3911 |
Dr. Stephen Douglas Woods, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5400 N Illinois St, Suite 104, Fairview Heights, IL 62208 Phone: 618-235-1500 Fax: 618-235-1501 | |
Michael K. Faulkner Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10513 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-398-7550 | |
Wellnessone Of Fairview Heights, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10607 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-310-1600 Fax: 618-688-1091 | |
Michael Keith Faulkner, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10513 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-398-7550 Fax: 618-398-7553 | |
Gary Joseph Mueller, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5007 N Illinois St, Fairview Heights, IL 62208 Phone: 618-235-4357 | |
Dr. Brittany Held, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10513 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-398-7550 |