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KIMBERLY A DETTLOFF M.D.
NPI 1114044476
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Elk Grove Village, IL

Active since March 23, 2007
1830 JARVIS AVE, ELK GROVE VILLAGE, IL 60007(615) 778-4066 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly A Dettloff M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY A DETTLOFF M.D. (NPI 1114044476) is an individual preventive medicine/occupational environmental medicine provider in Elk Grove Village, Illinois, licensed in Illinois (036-086013) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114044476
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NameKIMBERLY A DETTLOFFCredential: M.D.
Location Address1830 JARVIS AVEElk Grove Village, IL 60007-2440
Mailing Address5080 Spectrum Dr, Suite 1200wAddison, TX 75001-4648 · (972) 364-8000
Phone(615) 778-4066
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1114044476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in IL · 036-086013
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
1830 JARVIS AVE, Elk Grove Village, IL 60007
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Other Identifiers 2

Medicare PINIL1742IL
Medicare UPINIL1742022IL

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Clinic/Center (Multi-Specialty)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (847) 952-1180
MELANIO B SEBAYAN M.D.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (615) 778-4066
OCCUSPECIALISTS PC
Clinic/Center (Health Service)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (947) 952-1180
FATEMA T AZHAR O.T.
Occupational Therapist
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (615) 778-4066
EDUARDO M ISRAEL M.D.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (615) 778-4066
WILLIAM D WEAVER D.O.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (615) 778-4066
MR. JASON MARKWORTH PT
Physical Therapist (Orthopedic)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (847) 952-1180
AMERICAN CURRENT CARE OF ILLINOIS PC
Clinic/Center (Urgent Care)
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007
Cook County (847) 952-1180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Dettloff's NPI number?

The NPI number for Kimberly Dettloff is 1114044476. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Kimberly Dettloff located?

Kimberly Dettloff practices at 1830 Jarvis Ave, Elk Grove Village, IL 60007. The listed phone number is (615) 778-4066.

What is Kimberly Dettloff's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Kimberly Dettloff was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.