WILSON KIBUNGEI MALIT (NPI# 1154663045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154663045 |
Entity Type | Individual |
Full Name | WILSON KIBUNGEI MALIT |
Credential | OTR/L |
Practice Address |
555 W Carpenter St Springfield IL 62702-4905 |
Mailing Address |
605 Kenyon Dr Springfield IL 62704-1412 |
Practice Telephone | 2175251880 |
Mailing Telephone | 2174160272 |
Enumeration Date | 2013-03-19 |
Last Update Date | 2013-03-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 056003593 | IL | Other Service Providers |
Street Address |
555 W CARPENTER ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-4905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104034289 | Capitol Care Center, LLC | Skilled Nursing Facility | 555 W Carpenter St, Springfield, IL 62702-4905 | 2007-05-20 |
1215579107 | Aperion Care Capitol LLC | Durable Medical Equipment & Medical Supplies | 555 W Carpenter St, Springfield, IL 62702-4905 | 2019-10-11 |
1285144535 | Aperion Care Capitol LLC | Durable Medical Equipment & Medical Supplies | 555 W Carpenter St, Springfield, IL 62702-4905 | 2017-10-01 |
1518392562 | Debra Krick | Speech-Language Pathologist | 555 W Carpenter St, Springfield, IL 62702-4905 | 2013-09-10 |
1427499052 | Rehabcare | Skilled Nursing Facility | 555 W Carpenter St, Springfield, IL 62702-4905 | 2013-07-11 |
1801130539 | Capitol Healthcare and Rehabilitation Centre LLC | Skilled Nursing Facility | 555 W Carpenter St, Springfield, IL 62702-4905 | 2012-11-19 |
1609152057 | Jennifer Leigh Scales | Nurse Practitioner | 555 W Carpenter St, Springfield, IL 62702-4905 | 2011-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952841918 | All Seasons Construction Corp | Contractor | 76 Hartness Ave, Springfield, VT 05156-2711 | 2017-02-24 |
1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
1417393471 | Zipporah Lachell Burns | Contractor | 1643 E Commercial St, Springfield, MO 65803-3909 | 2013-05-17 |
1104199678 | Nirav Patel | Contractor | 8563 Bauer Cir, Springfield, VA 22152-2331 | 2012-02-14 |
1841443991 | Anne Long Morris | Contractor | 8423 Thames St, Springfield, VA 22151-1519 | 2008-11-01 |
1952576308 | Kimberly Drewes | Contractor | 3013 Summerwood Dr, Springfield, IL 62712-5862 | 2008-04-28 |
1740468297 | Pamela Kay Bonjean | Contractor | 535 W Canedy St, Springfield, IL 62704-2728 | 2008-02-07 |
1669510509 | Mosser Corporation | Contractor | 2460 Wabash Ave, Springfield, IL 62704-4201 | 2007-02-02 |
1235135047 | Miami Valley Sleep Center LLC | Contractor | 1980b Kingsgate Rd, Springfield, OH 45502-8224 | 2005-06-27 |
1225366537 | Terri Ann Alexander | Contractor | 823 N Limestone St, Springfield, OH 45503-3609 | 2009-11-24 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62702 |
Please comment or provide details below to improve the information on WILSON KIBUNGEI MALIT.
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.