ILLINI CARES (NPI# 1316498165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316498165 |
| Entity Type | Organization |
| Organization Name | ILLINI CARES |
| Practice Address |
3631 S 6th St Suite D Springfield IL 62703-4777 |
| Practice Telephone | 2173915446 |
| Mailing Telephone | 2173915446 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MR. CHAD BEENE (MANAGER) |
| Authorized Official Telephone | 2159151020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036119004 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3631 S 6TH ST SUITE D |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306811336 | Capitol Chiromed, Ltd. | Chiropractor | 3631 S 6th St, Suite B, Springfield, IL 62703-4777 | 2006-02-22 |
| 1083100994 | Jacob Glenn Parish | Specialist/Technologist | 3631 S 6th St, Springfield, IL 62703-4777 | 2018-07-03 |
| 1588102313 | Deborah Horton | Nurse Practitioner | 3631 S 6th St, Springfield, IL 62704 | 2017-01-31 |
| 1265819379 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3631 S 6th St, Springfield, IL 62703-4777 | 2015-04-28 |
| 1801209762 | Kevin Andrew Imhoff | Chiropractor | 3631 S 6th St, Suite B, Springfield, IL 62703-4777 | 2014-06-09 |
| 1043569114 | Stephanie Domagalski | Physical Therapist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-09-05 |
| 1699021444 | Chelsea Wright | Physical Therapist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-31 |
| 1932455649 | Gregg Sams | Physical Therapist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-31 |
| 1609121466 | Jennifer Lee Shurtz | Specialist/Technologist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-18 |
| 1205181906 | Peter Martin Stoll | Specialist/Technologist | 3631 S 6th St, Suite B, Springfield, IL 62703-4777 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218510 | Ojv Inc. | General Practice | 4936 Laverna Rd, Springfield, IL 62707-9797 | 2013-07-19 |
| 1861742223 | Victoria J. Dow | General Practice | 948 Clocktower Drive, Springfield, IL 62704 | 2012-09-13 |
| 1386963429 | Care Station Medical Group, Pa | General Practice | 90 Us Highway 22, Springfield, NJ 07081-3110 | 2010-05-28 |
| 1164758892 | John Thomas Kelly | General Practice | 2105 Interlacken Dr, Springfield, IL 62704 | 2009-10-31 |
| 1972747574 | Bradley Bradshaw | General Practice | 1904 S Shady Hill Ln, Springfield, MO 65809-2601 | 2009-04-27 |
| 1265685515 | International Medical Center, Inc | General Practice | 5410 Port Royal Rd, Suite 100, Springfield, VA 22151-2314 | 2008-10-30 |
| 1518121565 | Robert Charles Woods | General Practice | 1522 S Cedar Ridge St, Springfield, MO 65809-2356 | 2008-07-17 |
| 1083817639 | Saul Wider | General Practice | 359 Spring Valley Rd, Springfield, PA 19064 | 2007-06-08 |
| 1669681938 | Shwee-tian Chou | General Practice | 517 Boston Rd, Springfield, MA 01109-1230 | 2007-05-22 |
| 1326116229 | Abdulkareem I Kraidy | General Practice | 6801 Backlick Rd, Springfield, VA 22150-3071 | 2006-12-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on ILLINI CARES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.