location
search-icon
person
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. You can also correspond with Eric A Kivisto through the mailing address at 1401 E 12TH ST, MENDOTA, IL - 61342-9216 (mailing address contact number: 815-539-1789).

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
tick
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
1401 E 12Th St
City
Mendota
State
Illinois
Zip
61342-9216
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.