KINGSLEY U ONYEMERE (NPI# 1790798015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790798015 |
| Entity Type | Individual |
| Full Name | KINGSLEY U ONYEMERE |
| Credential | MD |
| Practice Address |
1813 W. Kirby Avenue Endocrinology Champaign IL 61821 |
| Mailing Address |
611 W Park St Bwpc Urbana IL 61801-2529 |
| Practice Telephone | 2173833490 |
| Practice Fax Number | 2173833439 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2173834752 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301083819 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036110498 | IL | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301083819 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1813 W. KIRBY AVENUE ENDOCRINOLOGY |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497032 | Toufic Abdo | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2005-09-15 |
| 1417197021 | Douglas Yore | Social Worker | 1813 W. Kirby Avenue, Psychiatry/psychology, Champaign, IL 61821-5410 | 2009-02-23 |
| 1659588614 | Eugenia Reeves | Social Worker | 1813 W. Kirby Avenue, Psychiatry/psychology, Champaign, IL 61821 | 2007-05-17 |
| 1780804930 | Bruce Freeman | Social Worker | 1813 W. Kirby Avenue, Psychiatry/psychology, Champaign, IL 61821 | 2007-04-30 |
| 1639279011 | James M Whisenand | Psychiatry & Neurology | 1813 W. Kirby Avenue, Psychiatry/psychology, Champaign, IL 61821 | 2006-09-25 |
| 1871691550 | Patricia Reichard | Nurse Practitioner | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-09-20 |
| 1598860512 | Kathryn A Wilson | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-09-14 |
| 1053414367 | Gerald M Welch | Psychiatry & Neurology | 1813 W. Kirby Avenue, Psychiatry/psychology, Champaign, IL 61821 | 2006-09-06 |
| 1285745976 | Arthur R Traugott | Psychiatry & Neurology | 1813 W. Kirby Avenue, Psychiatry/psychology, Champaign, IL 61821 | 2006-08-31 |
| 1558387217 | Shruti M Dave | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497032 | Toufic Abdo | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2005-09-15 |
| 1710084124 | Paul R Wilson | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-20 |
| 1598860512 | Kathryn A Wilson | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-09-14 |
| 1033128764 | Sathya Subbiah | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-08-05 |
| 1376551085 | John D. Stokes | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-08-04 |
| 1558387217 | Shruti M Dave | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-07-14 |
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|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
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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.