MEDICARE: HUXLANDE PETIGNY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2021051087	MO

General Provider Information

NPI Number	:	1467304519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUXLANDE PETIGNY

Provider Business Mailing Address
First Line	:	814 COMMERCE DR STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11629 FOX RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8422
Country	:	US
Telephone Number	:	317-823-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ HUXLANDE PETIGNY ” Practice Location

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