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Douglas A Kruse MD LLC

Family Medicine Physician in Breese, IL · enumerated 2006 · authorized official Douglas Kruse, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518049204

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Registry record

Entity type Organization (Type 2)
Legal business name Douglas A Kruse MD LLC
Practice address 9495 Holy Cross Ln, Suite 103, Breese, IL, 62230
Phone (618) 526-2222
Fax (618) 526-7680
Enumeration date Oct 20, 2006
Last updated in NPPES Jun 13, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036098255 (IL) Primary

Authorized official

Name Douglas Kruse
Title Owner
Phone (618) 526-2222

Other identifiers

Identifier Type State Issuer
036098255 Medicaid IL -
IL BLUESHIELD Other IL 01427671

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Douglas A Kruse MD LLC?
The NPI for Douglas A Kruse MD LLC is 1518049204, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Douglas A Kruse MD LLC?
NPPES lists Douglas Kruse (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-13.