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Eric A Kivisto, DO
Surgery Physician in Mendota, Illinois
NPI 1447257316

Eric A Kivisto is a Surgery Physician based in Mendota, IL. Eric A Kivisto practices in Mendota, IL and has the professional credentials of DO. The NPI Number for Eric A Kivisto is 1447257316 and holds a License No. 5101011210 (Illinois).

The current practice location address for Eric A Kivisto is 1405 E 12Th St, Mendota, IL and can be reached out via phone at 815-539-1789 and via fax at 815-539-1430.

Location: 1405 E 12Th St, Mendota, IL, 61342-9216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447257316
Provider Name
Eric A Kivisto
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1405 E 12Th St, Mendota, IL, 61342-9216
Phone Number
815-539-1789
Fax Number
815-539-1430
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371342699 01 IL FEIN NUMBER
036091073 05 IL
02706617 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1405 E 12Th St
City
Mendota
State
Illinois
Zip
61342-9010
Phone Number
815-539-1789
Fax Number
815-539-1430
person
Provider Business Mailing Address Details
Address
1405 E 12Th St
City
Mendota
State
Illinois
Zip
61342-9010
Phone Number
815-539-1789
Fax Number
815-539-1430
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
5101011210 (Michigan)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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