Bruce Dodt (NPI# 1013059005, PAC ID# 8022911676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1013059005 |
| PAC ID by PECOS | 8022911676 |
| Professional Enrollment ID | I20081230000398 |
| Full Name | Bruce Dodt |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Address |
105 S 1st St Willmington IL 60481-8973 |
| Phone Number | 8154765210 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 3274434717 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140167 | IROQUOIS MEMORIAL HOSPITAL |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 N Wall St 4th Floor, Kankakee, IL 60901-2901 | 81593316714592 | RIVERSIDE HEALTH SYSTEM |
| 375 N Wall St, P520, Kankakee, IL 60901-3493 | 8159330194 | RIVERSIDE HEALTH SYSTEM |
| 500 N Wall St, Kankakee, IL 60901-2942 | RIVERSIDE HEALTH SYSTEM | |
| 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 | 8159371237 | RIVERSIDE HEALTH SYSTEM |
| 105 S 1st St, Willmington, IL 60481-8973 | 8154765210 | RIVERSIDE HEALTH SYSTEM |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Abdelhafez Issa | Physical Medicine and Rehabilitation | Riverside Health System | 375 N Wall St, P520, Kankakee, IL 60901-3493 |
| Jenna Nicole Sarna | Nurse Practitioner | Riverside Health System | 25711 S Egyptian Trail, Monee, IL 60449-8118 |
| Joshua Devereux Miller | Orthopedic Surgery | Riverside Health System | 400 Riverside Dr, Suite 2800, Bourbonnais, IL 60914-5004 |
| Marisa M Schrum | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Timothy Warren Damrow | Family Medicine | Riverside Health System | 395 N Locust St, Manteno, IL 60950-1222 |
| Sana Hussain | Endocrinology | Riverside Health System | 100 Fitness Dr, Bourbonnais, IL 60914-9584 |
| Sarah Coyne | Nurse Practitioner | Riverside Health System | 401 N Wall St, Suite 206, Kankakee, IL 60901-2949 |
| Lori Cornelius | Nurse Practitioner | Riverside Health System | 720 Bs Crescent St, Gilman, IL 60938-1518 |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Jessica M Azoff | Psychiatry | Riverside Health System | 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 |
| Street Address |
105 S 1ST ST |
| City | WILLMINGTON |
| State | IL |
| Zip | 60481-8973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Andreja Kuseliauskas | Physician Assistant | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Ahsan Basha | Hematology/oncology | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Kirsten Mitchell | Psychologist, Clinical | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Alex Cichomska Herskovic | Radiation Oncology | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Jennifer M Powell | Family Medicine | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Kendra G Hansen | Nurse Practitioner | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Tara A. Campo | Nurse Practitioner | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Kimberly Simon | Physician Assistant | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Khalid Arshad | Psychiatry | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Elizabeth D Deck | Nurse Practitioner | Riverside Health System | 105 S 1st St, Willmington, IL 60481-8973 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean Allen Hoppenrath | Chiropractic | 309 W Baltimore St, Wilmington, IL 60481-1292 | |
| Danielle M. Ratazak | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Shelane Solt | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Niraj Y Shah | Internal Medicine | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Yatin M Shah | Internal Medicine | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Alison E Burchardt | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Linda L Hushaw | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Karen Shahan | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Melissa K Shepherd | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Victoria L Mancke | Nurse Practitioner | Primary Care Physicians of Joliet Sc | 121 Robert P Weidling Dr, Wilmington, IL 60481-1679 |
| Find all physicians in zip 60481 | |||
| City | WILLMINGTON |
| Zip Code | 60481 |
| Specialty | NEUROLOGY |
| City + Specialty | WILLMINGTON + NEUROLOGY |
Please comment or provide details below to improve the information on Bruce Dodt.
| 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.