RUKAYATU IBRAHIM (NPI# 1861803595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861803595 |
| Entity Type | Individual |
| Full Name | RUKAYATU IBRAHIM |
| Credential | MD |
| Practice Address |
311 W Fairchild St Danville IL 61832-3876 |
| Mailing Address |
611 W Park St Urbana IL 61801-2529 |
| Practice Telephone | 2174317800 |
| Practice Fax Number | 2174317634 |
| Mailing Telephone | 2173836941 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036140870 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
311 W FAIRCHILD ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801568 | Mary Cay Bolser | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2006-07-30 |
| 1154936672 | Mary E Eident | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-09-11 |
| 1629687041 | Allan Vega | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-07-31 |
| 1932672276 | Emily N Kozak | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2019-01-09 |
| 1033628201 | Lynn P Keller | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-09-20 |
| 1760904668 | Sarah L Hunsberger | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-07-12 |
| 1780104877 | Dareshia F Chambers-staple | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-06-21 |
| 1417311317 | Edward Caballero | Internal Medicine | 311 W Fairchild St, Danville, IL 61832-3876 | 2016-04-07 |
| 1578928586 | Julie Vann | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-12-17 |
| 1235524240 | Sara E Thai | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1417478074 | Brave Pediatric Therapy, Inc. | Pediatrics | 13798 Mace Rd, Danville, AR 72833-6770 | 2017-07-04 |
| 1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
| 1235572801 | Cierrea R Roach | Pediatrics | 201 S Main St Ste 2100, Danville, VA 24541-2937 | 2013-04-12 |
| 1306133319 | Phyllis Wang Acon | Pediatrics | 210 Monte Carlo Way, Danville, CA 94506-4689 | 2011-06-29 |
| 1447554621 | Andrew L Nash, Md, A Medical Corporation | Pediatrics | 911 San Ramon Valley Blvd, Suite 100, Danville, CA 94526-4037 | 2011-01-03 |
| 1417033705 | Sabeeha Haque Ali | Pediatrics | 102 N Logan Ave, Danville, IL 61832-8513 | 2006-10-29 |
| 1982790119 | Nirmala Rajeswaren | Pediatrics | 1017 W Williams St, Danville, IL 61832-4468 | 2006-10-05 |
| 1790799955 | Douglas A. Stein | Pediatrics | 303 South 4th Street, Danville, KY 40422 | 2006-07-27 |
| 1962424820 | Bhiron Buranakul | Pediatrics | 102 N Logan, Danville, IL 61832 | 2006-07-23 |
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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.