OrganizationActive
Illinois Valley Chiropractic, Ltd
NPI 1679883185 · Sports Physician Chiropractor · La Salle, IL
Provider details
- NPI number
- 1679883185
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Glen Peterson, President(815) 223-4201
- License
- 038.008373 (IL)
Specialties & taxonomies
Chiropractic Providers
Practice location
501 1st St
La Salle, IL 61301-2416
Phone: (815) 223-4201
Fax: (815) 223-4210
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1204
La Salle, IL 61301-3204
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2010-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.