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Dr. Kyle Bruketa , DC

Chiropractor β€’ Peoria, IL

Active NPI 1205293446 Individual Practitioner Male Practitioner
Practice location in NPPES

7310 N Villa Lake Dr
Peoria, IL 616148267

Call 3096919767 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7310 N Villa Lake Dr

Peoria, IL 616148267

Telephone 3096919767
Organization at the Same NPPES Address or Phone
Dr. Richard A. Olson Chiropractic Inc Facility NPI 1831234368

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Peoria and Illinois

75 active clinicians are listed under Chiropractor with a practice address in Peoria, IL (4,525 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

0% of these 75 clinicians have the CMS telehealth indicator.

46.7% of these 75 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES IL 038.012927

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1134778418

Doctor of Chiropractic

NPI 1982793881

Doctor of Chiropractic

NPI 1952436180

Doctor of Chiropractic

Career & Practice History

NPI enumerated January 19, 2016.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1205293446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2016
Last Update: January 19, 2016
Sole Proprietor: Yes

Other Chiropractors in Peoria

All Chiropractors in Peoria

Mailing Address

7310 N Villa Lake Dr

Peoria, IL 616148267

Phone: 3096919767

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.