Individual provider Active NPI

Kionie Abraham

  • Family Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1063897288
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012812 Issued in IL
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

Updated by the provider on Apr 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817002815 IL Practitioner - Nurse Practitioner 5193030377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Inhome Medical Services IncGroup PAC ID 9931645157, 3 clinicians

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

LicenseStateTypeSpecialty
209-012812ILMDAdult Health Nurse Practitioner
209012812ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Feb 9, 2017 Accepting new patients
Vpa PC CurrentSince Feb 9, 2017 Accepting new patients
Vpa PC Current Accepting new patients
Inhome Medical Services Inc CurrentSince Jan 17, 2025 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.

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

Verify at the official NPI Registry.