Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225039324 Individual Practitioner Female Practitioner

Dr. Geraldine Marie Kruckenberg , DC

Chiropractor • Moline, IL

Professional Overview & Biography Verified Profile Summary

Dr. Geraldine Kruckenberg, DC is a registered healthcare professional specializing in Chiropractor in Moline, IL. Practice services are available at 1715 5TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1715 5th Ave

Moline, IL 612657911

Telephone 3097649255
Fax 3097621064

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
69 Specialists

Practicing in Moline, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038 007464

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
038 007464 (IL)
Commercial Insurance / Payer ID Bcbs
08132048
Commercial Insurance / Payer ID Ia Public Aid
1179978
Commercial Insurance / Payer ID Medicare Railroad
P00174127 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1710984174

Doctor of Chiropractic

NPI 1861522195

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2014

Registered at 1715 5TH AVE, MOLINE, IL 612657911 (Tel: 3097649255)

📍
Updated Business Mailing Address June 26, 2014

Registered at 1715 5TH AVE, MOLINE, IL 612657911 (Tel: 3097649255)

👤
Provider Name / Credentials Updated June 26, 2014

Recorded as GERALDINE KRUCKENBERG, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2014

Chiropractor (License #038 007464 in IL)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225039324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: June 26, 2014
Sole Proprietor: No

Mailing Address

1715 5th Ave

Moline, IL 612657911

Phone: 3097649255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.