Organization Active NPI

Illini Family Medicine

  • Family Medicine Physician
  • Washington, IL
National Provider Identifier
1104830520
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ILLINI FAMILY MEDICINE
Practice address
201 N Cummings LN
Washington, IL 61571-2181
Phone
(309) 444-3627
Fax
(309) 444-7158
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Lee T Kinsinger, MD
Title
President
Phone
(309) 444-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

201 N Cummings LN
Washington, IL 61571-2181

Mailing address

201 N Cummings LN
Washington, IL 61571-2181
Phone (309) 444-3627

National Provider Directory

National Provider Directory

Locations

201 N Cummings Ln
Ste A
Washington, IL 61571
Phone (309) 444-3627

201 N Cummings Ln
#369
Washington, IL 61571
Phone (309) 444-3627

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1104830520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CUMMINGS LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712181",
            "telephone_number": "309-444-3627",
            "fax_number": "309-444-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CUMMINGS LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712181",
            "telephone_number": "309-444-3627",
            "fax_number": "309-444-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINI FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KINSINGER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-444-3627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.