DR. CONSTANCE SUSAN KEMP (NPI# 1346258654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346258654 |
| Entity Type | Individual |
| Full Name | DR. CONSTANCE SUSAN KEMP |
| Credential | M.D. |
| Practice Address |
1220 Douglas Dr Carbondale IL 62901-4029 |
| Mailing Address |
1001 N Oakland Ave Carbondale IL 62901-1241 |
| Practice Telephone | 6184534602 |
| Practice Fax Number | 6184532347 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1220 DOUGLAS DR |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356384390 | Janet Robinson | Family Medicine | 101 S Wall St, Carbondale, IL 62901-3021 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| 1548492234 | 63rd Advanced Health Clinic Inc | Family Medicine | 1249 W 63rd St, Chicago, IL 60636-1947 | 2009-08-14 |
| 1275553240 | Farooq Masood Ahmed | Family Medicine | 5200 Main St Ste 201, Family Practice/dept of Geriatrics, Skokie, IL 60077-2100 | 2006-07-20 |
| 1437149143 | Donald Harvey Dexter | Family Medicine | 1601 Tower Rd, Macomb, IL 61455-9717 | 2005-10-24 |
| 1518969518 | Ghousia Begum Ali | Family Medicine | 2136 W Devon Ave, Chicago, IL 60659-2127 | 2005-08-10 |
| 1568099380 | Bianca Jenkins | Family Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2020-03-23 |
| 1740779024 | Karen Batty | Family Medicine | 3000 S King Dr, Chicago, IL 60616-3452 | 2018-05-02 |
| 1043693773 | Farid Zahedieh | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2015-06-30 |
| 1639455173 | Rush-copley Medical Group Nfp | Family Medicine | 2040 Ogden Ave, Suite 303, Aurora, IL 60504-7206 | 2011-10-28 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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| 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.