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Bruce I Dodt

Neurologist

500 N Wall St Ste 300
Kankakee , Illinois 60901-2942

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Bruce I Dodt

Neurologist

500 N Wall St Ste 300
Kankakee , Illinois 60901-2942

(815) 935-8797

Write a Review Save Call

Bruce I Dodt

Neurologist

500 N Wall St Ste 300
Kankakee , Illinois 60901-2942

(815) 935-8797 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Neurologist

Languages spoken

  • English

Location

500 N Wall St Ste 300 Kankakee , Illinois 60901-2942

First Address

  • Bruce I Dodt
  • 500 N Wall St Ste 300
  • Kankakee, IL
  • Zip : 60901-2942
  • Fax : (815) 935-8797
  • Phone : (815) 935-0750

Second Address

  • Bruce I Dodt
  • 500 N Wall St Ste 300
  • Kankakee, IL
  • Zip : 60901-2942
  • Fax : (815) 935-8797
  • Phone : (815) 935-0750

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FAQs


Where did Bruce I Dodt attend graduate school?

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Where did Bruce I Dodt do his residency?

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Where did Bruce I Dodt do his fellowship?

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Is Bruce I Dodt board certified?

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What type of doctor is Bruce I Dodt

Neurologist

In what state does Bruce I Dodt practice in?

Illinois

Where is Bruce I Dodt ’s practice located?

500 N Wall St Ste 300 , Kankakee, Illinois, 60901-2942

What is Bruce I Dodt ’s gender?

Male

Is Bruce I Dodt a sole practitioner?

No

Is Bruce I Dodt accepting new patients?

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What languages does Bruce I Dodt speak?

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Does Bruce I Dodt accept insurance?

Yes, Bruce I Dodt accepts insurance

Does Bruce I Dodt offers telemedicine?

Bruce I Dodt has not indicated if he offers telemedicine

What is Bruce I Dodt ’s professional license number?

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What is Bruce I Dodt ’s NPI number?

1013059005

Does Bruce I Dodt have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2084N0400X Neurologist 036060250 IL

National Provider Identifier

NPI 1013059005
Provider Name Bruce I Dodt
First Address Kankakee, IL 60901-2942
Second Address Kankakee, IL 60901-2942
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/02/2007
Last Update Date 22/03/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036060250 (05) IL
C45958 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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