| Douglas a Kruse MD LLC | |
|
9495 Holy Cross Ln Suite 103 Breese IL 62230-3510 | |
| (618) 526-2222 | |
| (618) 526-7680 |
| Full Name | Douglas a Kruse MD LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 9495 Holy Cross Ln, Breese, Illinois |
| Authorized Official Name and Position | Douglas a Kruse (OWNER) |
| Authorized Official Contact | 6185262222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas a Kruse MD LLC 9495 Holy Cross Ln Suite 103 Breese IL 62230-3510 Ph: (618) 526-2222 | Douglas a Kruse MD LLC 9495 Holy Cross Ln Suite 103 Breese IL 62230-3510 Ph: (618) 526-2222 |
| NPI Number | 1518049204 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518049204 | NPI | - | NPPES |
| 036098255 | Medicaid | IL | |
| IL BLUESHIELD | Other | IL | 01427671 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036098255 (Illinois) | Primary |
Clinton County Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln # 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 |
Competitive Edge Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14160 Jamestown Rd, Breese, IL 62230 Phone: 618-526-2603 Fax: 618-526-1435 |
Cep America- Illinois SNF, LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1st St, Breese, IL 62230 Phone: 618-526-4521 |
HSHS St. Joseph's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511 Fax: 618-222-4703 |
Geriatrics First, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9409 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-7399 Fax: 618-526-7399 |
Cep America-illinois Hospitalists, LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511 |