Karen R Dzekunskas, DC
Individual provider Active NPI Chiropractor · Lincoln, IL
NPI 1013082775 · NPPES record last updated Oct 25, 2011
Key facts
- NPI
- 1013082775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038006844 (IL)
- Practice address
- 1005 Peoria Street
Lincoln, IL 62656-2157 - Phone
- (217) 732-8606
- Fax
- (217) 735-1663
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1005 Peoria St
Lincoln, IL 62656-2157
Phone (217) 732-8606
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111101000180 | IL | Practitioner - Chiropractic | 2769655190 | Practice locations: Lincoln, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen R. Dzekunskas | Chiropractor | Past |
Accepting new patients |
| Karen R. Dzekunskas | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006844 | IL | Yes |
Addresses
Primary practice location
1005 Peoria Street
Lincoln, IL 62656-2157
Mailing address
1005 Peoria Street
Lincoln, IL 62656-2157
Phone (217) 732-8606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05482010 | Other | IL | BCBS |
Other names
- Dr. Karen R Dzekunskas
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.