Jenessa Kalene Lutz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011261 Issued in IL

Practice address

3105 N Prospect Rd
Peoria, IL 61603-1505

Phone

(309) 685-5224

Fax

(309) 685-7377

NPI assigned

Mar 17, 2008

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lutz Physical Medicine Corp

  • Chiropractor
  • Peoria, IL
  • NPI 1578993606
  Authorized official Same address or phone
• Higgins Wellness Center, S.C.

  • Chiropractor
  • Peoria, IL
  • NPI 1407013485
  NPD (past)
• Midwest Multicare, PC

  • Chiropractor
  • Peoria, IL
  • NPI 1164622072
  NPD (past)
• Mid Ohio Chiropractic Inc

  • Chiropractor
  • Upper Sandusky, OH
  • NPI 1003952482
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1174794200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031505",
            "telephone_number": "309-685-5224",
            "fax_number": "309-685-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031505",
            "telephone_number": "309-685-5224",
            "fax_number": "309-685-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "JENESSA",
        "middle_name": "KALENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey J Lutes
• Lutheran Hillside Village Inc (Lutheran Home)
• Lutheran Senior Services (Lutheran Home, The)
• Lutz Physical Medicine Corp
• Angela Gail Lutz
• Luxottica of America Inc. (Lenscrafters #045)
• Luxottica Retail North America Inc (Sears Optical #1332)
• Peter N. Ly, DPM
• Daniel Richard Lygrisse, D.O.
• Ashley Lyle, LCSW

• 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 Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.