Richard W Kruckeberg (NPI# 1245362920, PAC ID# 4486819398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1245362920 |
| PAC ID by PECOS | 4486819398 |
| Professional Enrollment ID | I20120627000226 |
| Full Name | Richard W Kruckeberg |
| Address |
18 W Harrison St Sullivan IL 61951-1907 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 18 W Harrison St, Sullivan, IL 61951-1907 |
| Street Address |
18 W HARRISON ST |
| City | SULLIVAN |
| State | IL |
| Zip | 61951-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Harley | Chiropractic | 221 N Anderson St, Sullivan, IL 61951-1001 | |
| Robert H Butts | Family Medicine | Decatur Memorial Hospital | 1220 W Jackson St, Sullivan, IL 61951-1032 |
| David L Cole | Clinical Social Worker | 12 W Harrison St, Sullivan, IL 61951-1907 | |
| Craig M Bretz | Chiropractic | 101 W Jefferson St A, Sullivan, IL 61951-1914 | |
| Jeanne M Kairouz | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 2 W Adams St, Sullivan Family Care, Sullivan, IL 61951-1943 |
| Whitney Kauffman | Physician Assistant | Faisal Bukhari Md Sc | 2 W Adams St, Sullivan, IL 61951-1943 |
| James M Bock | Family Medicine | Hshs Medical Group Inc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Faisal Bukhari | Internal Medicine | Faisal Bukhari Md Sc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Glen E. Dust | Family Medicine | Hshs Medical Group Inc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Joya Ryan | Nurse Practitioner | Hshs Medical Group Inc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Find all physicians in zip 61951 | |||
| City | SULLIVAN |
| Zip Code | 61951 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SULLIVAN + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.