Search › Illinois › Surgery Physician
Eric Kivisto, DO
NPI 1447257316 · on the registry since 2005
Practice
- Address
- 1405 E 12th St
Suite 500
Mendota, IL 61342 - Phone
- (815) 539-1789
- Fax
- (815) 539-1430
- Organisation at this address
- Associated Physicians, Sc
Mendota Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 220 S Park Ave Fl 3, Herrin, IL
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Also registered as
- Surgery Physician
- Licence states on file
- MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois