Individual provider · Type 1 NPI

Eric A. Kivisto, DO

Surgery Physician · Mendota, IL

NPI number 1447257316 Active

Practice location

1405 E 12th St, Suite 500
Mendota, IL 61342-9010

Fax (815) 539-1430

Mailing address

1401 E 12th St
Mendota, IL 61342-9216

Other practice locations

  • 220 S Park Ave Fl 3, Herrin, IL 62948-3602 · (618) 942-2002

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X5101011210 (MI)
Surgery Physician Primary 208600000X036091073 (IL)

Surgery Physician: 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 increasin…

8 other providers at this address

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About NPI 1447257316

Eric A. Kivisto, DO's National Provider Identifier is 1447257316, issued on Jul 6, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Mendota, IL. The record was last updated on Dec 7, 2022.