Eric A Kivisto, DO
Eric A Kivisto, DO is a General Surgery in Mendota, Illinois. Graduated from Chicago College of Osteopathy in 1989, 37 years ago. Practices with Crittenden Community Hospital LLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.
- Years since qualifying
- 37
- Trained at
- Chicago College of Osteopathy
- Licensed in
- IL, MI
- In the registry since
- 2005
- 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
1405 E 12th St Ste 500Mendota, IL 61342-9010
Phone: (815) 539-1789
Fax: (815) 539-1430
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 220 S Park Ave Fl 3, Herrin, IL 62948-3602 — (618) 942-2002
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 036091073 (IL) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 5101011210 (MI) |
Record details
| NPI number | 1447257316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 6, 2005 |
| Last updated in NPPES | December 7, 2022 |
| Certification date | December 7, 2022 |
| Mailing address | 1401 E 12th St, Mendota, IL 61342-9216 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduated | 1989 (37 years in practice) |
| Group practice | Crittenden Community Hospital Llc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mendota
-
Michael P. Vercimak Mdsc
1311 Memorial Dr Ste 700, Mendota, IL 61342-1495 · (815) 539-3831
-
Dr. Michael P Vercimak, MD
1405 E 12th St Ste 200, Mendota, IL 61342-1495 · (815) 539-3831