| Mrs Kimberly Jo Duttlinger, RN, CRNA | |
|
925 West St, Peru, IL 61354 | |
| (815) 223-3300 | |
| (815) 224-6763 |
| Full Name | Mrs Kimberly Jo Duttlinger |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 925 West St, Peru, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548439623 | NPI | - | NPPES |
| 209006987 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209006987 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Morris Hospital & Healthcare Centers | Morris, IL | Hospital |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Ias Illinois Pc | 9638530991 | 61 |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
| Entity Name | Anesthesia Consultants Of Morris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952352171 PECOS PAC ID: 6103884150 Enrollment ID: O20041222000531 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Ias Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Jo Duttlinger, RN, CRNA 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 | Mrs Kimberly Jo Duttlinger, RN, CRNA 925 West St, Peru, IL 61354 Ph: (815) 223-3300 |
Alison Jeanne Kibilka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 925 West St, Peru, IL 61354 Phone: 815-780-3567 | |
Elizabeth Meier, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 Fax: 815-224-6763 | |
Nathan Bowers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 925 West St, Anesthesia Department, Peru, IL 61354 Phone: 812-223-3300 Fax: 815-224-6763 | |
Mr. Christopher A Westphal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 | |
Eunice C Riemer, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-780-3563 Fax: 517-787-4146 | |
Patrick Springer, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 |