KANKAKEE INTERNAL MEDICINE GROUP (NPI# 1942450366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942450366 |
| Entity Type | Organization |
| Organization Name | KANKAKEE INTERNAL MEDICINE GROUP |
| Practice Address |
7641 Newfield Ln Tinley Park IL 60487-5539 |
| Practice Telephone | 6309521412 |
| Practice Fax Number | 6309521447 |
| Mailing Telephone | 6309521412 |
| Mailing Fax Number | 6309521447 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | DR. SUNIL K SHAH (PRESIDENT) |
| Authorized Official Telephone | 6309521412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0361058 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
7641 NEWFIELD LN |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1831453638 | Troy Alexander-el | Internal Medicine | 6700 167th St Ste 5, Tinley Park, IL 60477-2078 | 2012-06-27 |
| 1356641120 | Nittor R. Jayaram Md Ltd | Internal Medicine | 17031 Harlem Ave, Tinley Park, IL 60477-2739 | 2010-10-27 |
| 1235255118 | David L Ellens Md Facp LLC | Internal Medicine | 6703 159th St Ste 115, Tinley Park, IL 60477-1782 | 2007-03-22 |
| 1669513735 | Jolly Susan Varghese | Internal Medicine | 7600 W. 183rd St, Tinley Park, IL 60477-3690 | 2007-02-09 |
| 1356393557 | Asad Zaman Md Sc | Internal Medicine | 6700 167th St, Suite 4, Tinley Park, IL 60477-2859 | 2006-05-16 |
| 1992704100 | Chaden Sbai | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2005-07-19 |
| 1578562781 | Hassan A Ibrahim | Internal Medicine | 16650 Harlem Ave, Suite C, Tinley Park, IL 60477-1847 | 2005-07-19 |
| 1588029128 | Asad Zaman Md 20 Sc | Internal Medicine | 6700 167th St Ste 4, Tinley Park, IL 60477-2078 | 2015-12-28 |
| 1386986537 | Kaitlin Wanta | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2013-03-25 |
| 1922369248 | Mohammed Muqeet Adnan | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487 | 2012-06-04 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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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.