Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas a Kruse MD LLC

Organization Family Medicine Physician · NPI 1518049204

Douglas a Kruse MD LLC is a Family Medicine Physician in Breese, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9495 Holy Cross Ln Ste 103
Breese, IL 62230-3510
Phone: (618) 526-2222
Fax: (618) 526-7680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036098255 (IL)

Record details

NPI number1518049204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Kruse — Owner · (618) 526-2222
NPI enumeratedOctober 20, 2006
Last updated in NPPESJune 13, 2008
Mailing address9495 Holy Cross Ln, Suite 103, Breese, IL 62230-3510

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