ILLINOIS VALLEY CHIROPRACTIC LTD NPI 1679883185

NPI Information

  • NPI: 1679883185
  • Provider Name: ILLINOIS VALLEY CHIROPRACTIC, LTD
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • Address: 501 1ST ST
    LA SALLE, IL
    ZIP 61301
  • Phone: (815) 223-4201

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NPI Details

ILLINOIS VALLEY CHIROPRACTIC, LTD is a sports physician chiropractor in La Salle, IL. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. ILLINOIS VALLEY CHIROPRACTIC, LTD NPI is 1679883185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 1ST ST
LA SALLE, IL
ZIP 61301-416
Phone: (815) 223-4201
Fax: (815) 223-4210

The provider's authorized official is Glen R Peterson .
The authorized official title is President and has the following contact phone number (815) 223-4201.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician038.008373ILLINOISYes

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This page was last updated on: 11/21/2025

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