| Dr Geraldine Marie Kruckenberg, DC | |
|
1715 5th Ave, Moline, IL 61265-7911 | |
| (309) 764-9255 | |
| (309) 762-1064 |
| Full Name | Dr Geraldine Marie Kruckenberg |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 1715 5th Ave, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225039324 | NPI | - | NPPES |
| 08132048 | Other | BCBS | |
| 1179978 | Other | IA PUBLIC AID | |
| 038 007464 | Medicaid | IL | |
| P00174127 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038 007464 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Geraldine Marie Kruckenberg, DC 1715 5th Ave, Moline, IL 61265-7911 Ph: (309) 764-9255 | Dr Geraldine Marie Kruckenberg, DC 1715 5th Ave, Moline, IL 61265-7911 Ph: (309) 764-9255 |
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