KAYSHA LYNNE RIBAO


Address: 2116 S Springfield Ave, Chicago, IL 60623-2465
Phone: 8083834831

KAYSHA LYNNE RIBAO (NPI# 1194340026) 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) 1194340026
Entity Type Individual
Full Name KAYSHA LYNNE RIBAO
Credential MD
Practice Address 2116 S Springfield Ave
Chicago
IL 60623-2465
Mailing Address 2653 W Ogden Ave Fl 3
Chicago
IL 60608-1647
Practice Telephone 8083834831
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 125.075391 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2653 W Ogden Ave Fl 3, Chicago, IL 606081647 7735226100

Office Location

Street Address 2116 S SPRINGFIELD AVE
City CHICAGO
State IL
Zip Code 60623-2465

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1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1477851319 Elizabeth Bauer Physician Assistant 3256 W 24th St, Chicago, IL 60623 2011-03-01
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

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1053911495 Moataz Barkat Family Medicine 3315 W 66th Pl, Chicago, IL 60629-3427 2020-10-26
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1285251892 Soe Lwin Oo Family Medicine 1625 E 75th St # 1, Chicago, IL 60649-3603 2020-06-30
1124645700 Timothy Alan Williams Jr. Family Medicine 1625 E 75th St Fl 1, Chicago, IL 60649-3603 2020-06-30
1932724341 Toni Kurian Family Medicine 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 2020-06-11
1528689486 Thurman J Robertson Family Medicine 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 2020-05-01
1629697297 Lyndsey Danielle Johnson Family Medicine 2804 W Walton St, Chicago, IL 60622-4450 2020-04-13
1730708884 Iruoma Genevieve Nwangwu Family Medicine 1950 W Polk Street, Chicago, IL 60612-3714 2020-04-09
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Competitor

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City CHICAGO
Zip Code 60623

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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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