Physician Compare National (NPI:1952957433)

HEALTHCARE PROVIDER: AMANDA ELIZABETH GERKE DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952957433
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325378193
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190920000149
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GERKE
	Individual professional last name
Provider First Name	AMANDA
	Individual professional first name
Provider Middle Name	ELIZABETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NATIONAL COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3931 W ALGONQUIN RD
	Group Practice or individual's line 1 address
City	ALGONQUIN
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	601029700
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y