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JERRY E KRUSE M.D.
NPI 1902883663
Family Medicine in Quincy, IL

Active since December 23, 2005
612 N 11TH ST, QUINCY, IL 62301(217) 224-9484(217) 224-7950 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry E Kruse M.d. NPPES

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

JERRY E KRUSE M.D. (NPI 1902883663) is an individual family medicine provider in Quincy, Illinois, licensed in Illinois (036-068809) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1902883663
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY E KRUSECredential: M.D.
Location Address612 N 11TH STQuincy, IL 62301-2662
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7578 · Fax (217) 545-1884
Phone(217) 224-9484
Fax(217) 224-7950
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateMay 19, 2016
✔ NPI 1902883663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-068809
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
612 N 11TH ST, Quincy, IL 62301
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Other Identifiers 3

Medicare PINF400271602IL
Medicare UPIND15581
Medicaid036068809IL

Other Providers at the Same Location NPPES 20

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

DEANDRA RANGEL
Social Worker
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
DR. PICHAPA SANGSAWAD MD
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JACQUELINE RENEE BROWN PHARMD
Pharmacist
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
DR. EMMANUEL IFEANYICHUKWU OHAA MBCHB, MPH
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JASON CHAK SHAM HUI DO
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JAVIER ANDRES VITERI QUINCHA MD
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JAMES LOVE M.D.
Internal Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 545-8000
LAICA MAE BASINGAN ARCIBAL DO
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484

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 Jerry Kruse's NPI number?

The NPI number for Jerry Kruse is 1902883663. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Jerry Kruse located?

Jerry Kruse practices at 612 N 11th St, Quincy, IL 62301. The listed phone number is (217) 224-9484.

What is Jerry Kruse's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Kruse was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.