KINDRED LLC (NPI# 1609936707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609936707 |
| Entity Type | Organization |
| Organization Name | KINDRED LLC |
| Practice Address |
120 Ne Glen Oak Ave Suite 200 Peoria IL 61603-4314 |
| Practice Telephone | 3096730000 |
| Practice Fax Number | 3096733730 |
| Mailing Telephone | 3096730000 |
| Mailing Fax Number | 3096733730 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID H KINDRED (PHYSICIAN) |
| Authorized Official Telephone | 3096730000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PIN | 204931 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 9032024 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KINDRED LLC | 215 E Polk St, Colorado Springs, CO 80907 |
| Street Address |
120 NE GLEN OAK AVE SUITE 200 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184670663 | Methodist Medical Center of Illinois | Emergency Medicine | 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 | 2006-05-26 |
| 1871047977 | Maren Thompson | Pharmacist | 120 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-4314 | 2016-08-08 |
| 1225234206 | Allergy and Asthma Carecenter Sc | Clinic/Center | 120 Ne Glen Oak Ave, Suite 408, Peoria, IL 61603-4314 | 2007-06-26 |
| 1063538940 | Joan K Selburg | Specialist/Technologist, Other | 120 Ne Glen Oak Ave, Suite 407, Peoria, IL 61603-4301 | 2007-03-22 |
| 1104986330 | Diane Lynn Dunniway | Nurse Practitioner | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1225145196 | Daniel W Palmer Jr. | Specialist | 120 Ne Glen Oak Ave, Suite 408, Peoria, IL 61603-4314 | 2006-08-24 |
| 1912912213 | Vaughn Hanna | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-29 |
| 1811901929 | Joseph Couri | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-27 |
| 1528089687 | Gurramkonda Naidu | Family Medicine | 120 Ne Glen Oak Ave, Suite 306, Peoria, IL 61603-4314 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149171 | Alexandra Mathern | Obstetrics & Gynecology | 320 E Armstrong Ave, Peoria, IL 61603-3172 | 2015-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
| 1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
| 1245633726 | Saints Mary and Elizabeth Medical Center | Obstetrics & Gynecology | 651 S Sutton Rd, Suite 260, Streamwood, IL 60107-2366 | 2014-09-29 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1003082777 | Yuhang Shek Mdsc | Obstetrics & Gynecology | 1315nhighland Avenue, 104, Aurora, IL 60506 | 2008-05-02 |
| 1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
| 1407065154 | Eiman El-tag | Obstetrics & Gynecology | 11330 S Harlem Ave, Worth, IL 60482-2060 | 2007-05-21 |
| 1841419207 | West Suburban Medical Center | Obstetrics & Gynecology | Box 4063 Women's Health Center, Carol Stream, IL 60122-0001 | 2007-04-24 |
| 1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
| 1003932765 | Pana Ob-gyn | Obstetrics & Gynecology | 115 E Pleasant St, Taylorville, IL 62568-1560 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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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.