DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS A KRUSE MD LLC

Active Organization

Family Medicine · BREESE, IL

Registration Details

NPI Number
1518049204
Provider Type
Organization
NPI Issued
Oct 20, 2006 (19.541976482988 yrs)
Last Updated
Jun 13, 2008
License
036098255 (IL)

Practice Information

Address
9495 HOLY CROSS LN
SUITE 103
BREESE, IL, 622303510
Browse IL providers · Browse ZIP 62230
Phone
6185262222
Fax
6185267680
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.