KIMBERLY A. DETTLOFF M.D. – NPI #1114044476
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

KIMBERLY DETTLOFF is a physician located in ELK GROVE VILLAGE, IL. NPPES has assigned the NPI number 1114044476 to KIMBERLY DETTLOFF on March 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 16 years ago on Feb 18, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY DETTLOFF below.

NPI Profile for
KIMBERLY A. DETTLOFF

NPI Number
1114044476
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIMBERLY A. DETTLOFF
Credentials
M.D.
Primary location
1830 JARVIS AVE
ELK GROVE VILLAGE, IL 60007-2440
Phone: (615) 778-4066 Fax:
Mailing address
5080 SPECTRUM DR
SUITE 1200W
ADDISON, TX 75001-4648
Phone: (972) 364-8000 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
IL 036-086013

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.