Douglas A Kruse Md Llc in Breese - Family Medicine
Douglas A Kruse Md Llc - NPI 1518049204
Douglas A Kruse Md Llc is a Family Medicine in Breese, Illinois. Douglas A Kruse Md Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas A Kruse Md Llc is 1518049204. The last update date is 2008-06-13.
Douglas A Kruse Md Llc's current location address is 9495 Holy Cross Ln, Breese, Illinois. You can contact this provider via phone number 6185262222 and fax number 6185267680. The mailing address for Douglas A Kruse Md Llc is 9495 Holy Cross Ln, Breese, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas A Kruse Md Llc |
|---|---|
| Address | 9495 Holy Cross Ln, Breese, Illinois |
| Phone Number | 6185262222 |
| Fax Number | 6185267680 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kruse A Douglas |
| Credentials | MD |
| Telephone Number | 6185262222 |
NPI Number Detail
| NPI Number | 1518049204 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 9495 Holy Cross Ln |
|---|---|
| City | Breese |
| State | Illinois (IL) |
| Post Code | 622303510 |
| Phone Number | 6185262222 |
| Fax Number | 6185267680 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36098255 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36098255 | IL | -- | |
| IL BLUESHIELD | IL | 1427671 |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas A Kruse Md Llc by the Centers for Medicare & Medicaid Services?
The Douglas A Kruse Md Llc has been assigned the NPI (National Provider Identifier) 1518049204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Douglas A Kruse Md Llc is physically located?
The Douglas A Kruse Md Llc is situated at the following address: 9495 Holy Cross Ln, Breese, IL 622303510.
What is the area of specialization for Douglas A Kruse Md Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas A Kruse Md Llc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Douglas A Kruse Md Llc receive its 1518049204 assignment from the Centers for Medicare & Medicaid Services?
The Douglas A Kruse Md Llc was assigned its 1518049204 by the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the Douglas A Kruse Md Llc's information last updated?
The Douglas A Kruse Md Llc's information was last updated on 2008-06-13.
NPI Number: 1063415297
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