DR. GERALDINE MARIE KRUCKENBERG DC - NPI 1225039324

Q: What is Geraldine Kruckenberg's NPI number?

The NPI number for Geraldine Kruckenberg is 1225039324. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Dr. Geraldine Marie Gadomski Dc.

Q: What is Geraldine Kruckenberg's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

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About Dr. Geraldine Marie Kruckenberg Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERALDINE MARIE KRUCKENBERG DC (NPI 1225039324) is an individual chiropractor in Moline, Illinois, licensed in Illinois (038 007464) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225039324

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. GERALDINE MARIE KRUCKENBERGCredential: DC

Location Address1715 5TH AVEMoline, IL 61265-7911

Mailing Address1715 5th AveMoline, IL 61265-7911 · (309) 764-9255 · Fax (309) 762-1064

Phone(309) 764-9255

Fax(309) 762-1064

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateJune 26, 2014

✔ NPI 1225039324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038 007464

Definition

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.

1715 5TH AVE, Moline, IL 61265

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Other Names 1

Former Name (1)Dr. Geraldine Marie Gadomski Dc

Other Identifiers 6

OtherP00174127IL · Medicare Railroad

Medicare ID-Type Unspecified205509IL

Other1179978Ia Public Aid

Medicare UPINU07119

Other08132048Bcbs

Medicaid038 007464IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD GARY FRIED D.C.

Chiropractor (Sports Physician)

1715 5TH AVE
MOLINE, IL 61265

Rock Island County (309) 762-1050

DR. TIFFANY ANN WILLARD D.C.

Chiropractor

1715 5TH AVE
MOLINE, IL 61265

Rock Island County (309) 762-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geraldine Kruckenberg's NPI number?

The NPI number for Geraldine Kruckenberg is 1225039324. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Dr. Geraldine Marie Gadomski Dc.

Where is Geraldine Kruckenberg located?

Geraldine Kruckenberg practices at 1715 5th Ave, Moline, IL 61265. The listed phone number is (309) 764-9255.

What is Geraldine Kruckenberg's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Geraldine Kruckenberg accept?

Health plans from Providence Health Plan list Geraldine Kruckenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geraldine Kruckenberg was last updated on June 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.