Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ronald Gene Peterson Jr., DC

Individual provider Chiropractor · NPI 1891064226

Dr. Ronald Gene Peterson Jr., DC is a Chiropractic in Fairview Heights, Illinois. Graduated from Logan College of Chiropractic in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Trained at
Logan College of Chiropractic
Licensed in
IL
In the registry since
2011
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

815 Lincoln Hwy Ste 101
Fairview Heights, IL 62208-2230
Phone: (618) 589-3911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038.012069 (IL)

Record details

NPI number1891064226
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 13, 2011
Last updated in NPPESNovember 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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