Dr. Kody Duane Dormire, DO
Dr. Kody Duane Dormire, DO is a Pediatric Medicine in Peoria, Illinois. Graduated from Oklahoma State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Trained at
- Oklahoma State University College of Osteopathic Medicine
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
530 NE Glen Oak AvePeoria, IL 61637-0001
Phone: (309) 655-4940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036162380 (IL) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 036162380 (IL) |
Record details
| NPI number | 1083241293 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 26, 2020 |
| Last updated in NPPES | October 3, 2024 |
| Certification date | October 3, 2024 |
| Mailing address | 400 E Cedar St, Perry, OK 73077-7833 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2020 (6 years in practice) |
| Group practice | Osf Multi-Specialty Group — 2128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peoria
-
Ninah Clegg-Johnson, DO
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-3863
-
Trina Croland
420 NE Glen Oak Ave, Peoria, IL 61603-3105 · (309) 627-5673
-
Marte Linn Deppermann, MD
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-2274
-
Dr. Benali Girish Deshpande, MD
420 NE Glen Oak Ave Ste 201, Peoria, IL 61603-3105 · (888) 627-5673
-
Michael Endris, MD
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-2274
-
Andrea Desiree Escobar
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-4940
-
Dr. Ashley Michelle Fischer, MD
530 NE Glen Oak Ave, Peoria, IL 61637 · (309) 624-0612
-
Dr. Jacquelyn Flor, DO
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-7171