IndividualActive
Kimberly Dettloff, M.D.
NPI 1114044476 · Preventive Medicine/Occupational Environmental Medicine Physician · Elk Grove Village, IL
Provider details
- NPI number
- 1114044476
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036-086013 (IL)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 036-086013 (IL)
Allopathic & Osteopathic Physicians
Practice location
1830 Jarvis Ave
Elk Grove Village, IL 60007-2440
Phone: (615) 778-4066
Approximate (ZIP-level) locationGet directions
Mailing address
5080 Spectrum Dr
Addison, TX 75001-4648
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2010-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.