WILSON KIBUNGEI MALIT


Address: 555 W Carpenter St, Springfield, IL 62702-4905
Phone: 2175251880

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 056003593 IL Other Service Providers

Office Location

Street Address 555 W CARPENTER ST
City SPRINGFIELD
State IL
Zip Code 62702-4905

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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