KAIF MOHAMMED YUSUF MANSURI (NPI# 1326429242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326429242 |
| Entity Type | Individual |
| Full Name | KAIF MOHAMMED YUSUF MANSURI |
| Credential | M.D. |
| Practice Address |
1006 S Division St Carterville IL 62918 |
| Mailing Address |
109 California St Po Box 577 Carterville IL 62918-0577 |
| Practice Telephone | 6185199200 |
| Practice Fax Number | 6189853774 |
| Mailing Telephone | 6185199200 |
| Mailing Fax Number | 6189854635 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036145712 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036145712 | 05 |
| Street Address |
1006 S DIVISION ST |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548689 | Matin Nekzad | Family Medicine | 1006 S Division St, Carterville, IL 62918-1539 | 2006-02-22 |
| 1235780982 | Shawnee Health Service and Development Corp | Clinic/Center | 1006 S Division St, Carterville, IL 62918-1539 | 2019-09-24 |
| 1487111852 | Alexandria Markel | Counselor | 1006 S Division St, Carterville, IL 62918-1539 | 2019-02-21 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| 1609381425 | Jacquelyn Batterman | Social Worker | 1006 S Division St, Carterville, IL 62918-1539 | 2017-12-04 |
| 1225584188 | Dominique M Williams | Counselor | 1006 S Division St, Carterville, IL 62918 | 2016-08-31 |
| 1275905374 | Laura Castillo | Nurse Practitioner | 1006 S Division St, Carterville, IL 62918-1539 | 2015-10-28 |
| 1952785222 | Amanda Reynolds | Nurse Practitioner | 1006 S Division St, Carterville, IL 62918-1539 | 2015-07-16 |
| 1801280573 | Yvonne Marchal | Social Worker | 1006 S Division St, Carterville, IL 62918 | 2015-03-20 |
| 1437571908 | Lab One LLC | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918-1539 | 2014-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1013362227 | Kristin Francis | Social Worker | 1400 Pin Oak Dr, Carterville, IL 62918 | 2016-04-26 |
| Find all providers in zip 62918 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548689 | Matin Nekzad | Family Medicine | 1006 S Division St, Carterville, IL 62918-1539 | 2006-02-22 |
| 1487014627 | Robert M Swayze | Family Medicine | 310 W Plaza Dr, Carterville, IL 62918-1980 | 2016-03-01 |
| 1982655692 | James E Wachter | Family Medicine | 1006 S Division St, Carterville, IL 62918-1539 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
Please comment or provide details below to improve the information on KAIF MOHAMMED YUSUF MANSURI.
| 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.