Active NPI
Kionie Abraham
- Family Nurse Practitioner
- Oakbrook Terrace, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209012812
- Practice address
- 2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290 - Phone
- (866) 259-1631
- Fax
- (855) 618-2629
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209012812 | IL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 209-012812 | IL |
Addresses
Primary practice location
2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Mailing address
121 Fairfield Way Ste 207
Bloomingdale, IL 60108-1559
Phone (630) 529-7427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8556 S Ashland Ave
Chicago, IL 60620-4709
Phone (773) 596-6497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-012812 | IL | MD | Adult Health Nurse Practitioner |
| 209012812 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Inhome Medical Services Inc | Current | Accepting new patients |
Locations
121 Fairfield Way
Ste 207
Bloomingdale, IL 60108
Phone (630) 529-7427
1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650
8556 S Ashland Ave
Chicago, IL 60620
Phone (708) 705-7947
2 Transam Plaza Dr
Ste 410
Oakbrook Terrace, IL 60181
Phone (266) 259-1631
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Chicago, IL
- NPI 1881435048
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- Family Medicine Physician
- Burr Ridge, IL
- NPI 1912521071
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1063897288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FAIRFIELD WAY STE 207",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081559",
"telephone_number": "630-529-7427",
"fax_number": "630-529-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRANSAM PLAZA DR STE 410",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814290",
"telephone_number": "866-259-1631",
"fax_number": "855-618-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "KIONIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209012812",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209-012812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.