1447257316 Eric A Kivisto, DO
Surgery Physician
Active
Basic Information
- Full Name
- Eric A Kivisto, DO
- Gender
- Male
- Enumeration Date
- July 6, 2005
- Last Update
- December 7, 2022
Practice Location
- Address
- 1405 E 12TH ST
SUITE 500
MENDOTA, IL 613429010 - Phone
- (815) 539-1789
- Fax
- (815) 539-1430
Mailing Address
- Address
- 1401 E 12TH ST
MENDOTA, IL 613429216 - Phone
- (815) 539-1789
- Fax
- (815) 539-1430
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Surgery Physician | 208600000X | Surgery | 5101011210 | MI | No |
| Surgery Physician | 208600000X | Surgery | 036091073 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371342699 | 01 | IL | FEIN NUMBER |
| 036091073 | 05 | IL | N/A |
| 02706617 | 01 | IL | BLUE CROSS/BLUE SHIELD |
Additional Practice Locations
220 S Park Ave Fl 3
Herrin, IL 629483602
Herrin, IL 629483602
Phone: (618) 942-2002
Digital Endpoints
DIRECT
ekivisto62512@sih.direct-ci.com
Frequently Asked Questions
What is Eric A Kivisto, DO's NPI number?
Eric A Kivisto, DO's NPI number is 1447257316.
Which doctor has NPI number 1447257316?
The doctor with NPI number 1447257316 is Eric A Kivisto, DO.
What is Eric A Kivisto, DO's practice address?
Eric A Kivisto, DO's practice address is 1405 E 12TH ST, SUITE 500, MENDOTA, IL, 613429010.
Which doctor practices at 1405 E 12TH ST, SUITE 500, MENDOTA, IL, 613429010?
Eric A Kivisto, DO practices at 1405 E 12TH ST, SUITE 500, MENDOTA, IL, 613429010.
What is Eric A Kivisto, DO's mailing address?
Eric A Kivisto, DO's mailing address is 1401 E 12TH ST, MENDOTA, IL, 613429216.
What is Eric A Kivisto, DO's phone number?
Eric A Kivisto, DO's phone number is (815) 539-1789.
Who is (815) 539-1789?
(815) 539-1789 is the phone number for Eric A Kivisto, DO.
What is Eric A Kivisto, DO's specialty?
Eric A Kivisto, DO's specialty is Surgery Physician.
What type of doctor is Eric A Kivisto, DO?
Eric A Kivisto, DO is a Surgery Physician.
Is Eric A Kivisto, DO a Surgery?
Yes, Eric A Kivisto, DO is a Surgery.
Is Eric A Kivisto, DO still practicing?
Yes, Eric A Kivisto, DO is currently practicing.
Is Eric A Kivisto, DO accepting new patients?
Eric A Kivisto, DO may be accepting new patients. Please call their office at (815) 539-1789 to inquire about availability.
Is NPI 1447257316 still active?
Yes, NPI 1447257316 is currently active.
Where does Eric A Kivisto, DO practice?
Eric A Kivisto, DO practices in MENDOTA, IL.
Is Eric A Kivisto, DO a male or female doctor?
Eric A Kivisto, DO is a male doctor.