Jacob Michael Hertz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010924 Issued in IL

Practice address

1200 W Loucks Ave
Peoria, IL 61604-2604

Phone

(309) 682-6624

Fax

(309) 682-6625

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Charles Pain and Wellness Center, LLC

  • Chiropractor
  • St Charles, IL
  • NPI 1225338353
  Medicare reassignment NPD Authorized official
• 606 Health

  • Chiropractor
  • Bartlett, IL
  • NPI 1205630472
  NPD (past)
• Nyuli Chiropractic, P.C.

  • Chiropractor
  • St Charles, IL
  • NPI 1982646246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1083841837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W LOUCKS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042604",
            "telephone_number": "309-682-6624",
            "fax_number": "309-682-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W LOUCKS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042604",
            "telephone_number": "309-682-6624",
            "fax_number": "309-682-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Hernandez Jr., DO
• Jose M Hernandez, M.D.
• James M Herr, LCSW
• Cheryl Herrmann
• James Curtis Hertenstein, MD
• Laura E Hertz, NP
• Kimberley B Herzog, LISW-S
• Lisa D Heuermann, OTR
• Nicholas Heuermann
• Heyde Eye Center S.C

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.