Individual provider Active NPI

Gina R. Kurtz, D.C.

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1790904670
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007993 Issued in IL
Practice address
7620 N University St Ste 109
Peoria, IL 61614-8300
Phone
(309) 693-9600
Fax
(309) 693-3616
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007993 IL Primary

Addresses

Primary practice location

7620 N University St Ste 109
Peoria, IL 61614-8300

Mailing address

7620 N University St Ste 109
Peoria, IL 61614-8300
Phone (309) 693-9600

Other names 1

  • Dr. Gina R. Duvick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007993ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JD Nimrick PC Past Accepting new patients
Kramer Chiropractic and Accupuncture Center LLC Chiropractor PastSince Feb 3, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1790904670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 N UNIVERSITY ST STE 109",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148300",
            "telephone_number": "309-693-9600",
            "fax_number": "309-693-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 N UNIVERSITY ST STE 109",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148300",
            "telephone_number": "309-693-9600",
            "fax_number": "309-693-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "GINA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "DUVICK",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.