Illinois Valley Chiropractic, Ltd
NPI 1679883185 · Sports Physician Chiropractor · La Salle, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illinois Valley Chiropractic, Ltd is a Sports Physician Chiropractor organization in La Salle, IL (NPI 1679883185).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2010-10-18
Frequently asked questions
- What is Illinois Valley Chiropractic, Ltd's NPI number?
- Illinois Valley Chiropractic, Ltd's National Provider Identifier (NPI) is 1679883185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Valley Chiropractic, Ltd?
- Illinois Valley Chiropractic, Ltd is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Illinois Valley Chiropractic, Ltd located?
- Illinois Valley Chiropractic, Ltd's practice location on file with NPPES is 501 1st St, La Salle, IL 61301-2416.
- What is Illinois Valley Chiropractic, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Illinois Valley Chiropractic, Ltd is (815) 223-4201.
- Does Illinois Valley Chiropractic, Ltd accept Medicare?
- Illinois Valley Chiropractic, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Illinois Valley Chiropractic, Ltd?
- The authorized official listed on Illinois Valley Chiropractic, Ltd's NPPES record is Glen Peterson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Valley Chiropractic, Ltd's NPI active?
- Yes — Illinois Valley Chiropractic, Ltd's NPI (1679883185) is active in the NPPES registry as of the last update on 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.