Komedicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KOMEDICINE, LLC

Doing business as

KOMEDICINE

Practice address

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Phone

(708) 747-4000

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Kenosa Okafor, MDNPI 1184967838

Title

Manager

Phone

(708) 577-8160

Specialties & licenses 1

Addresses

Other names 1

• KOMEDICINE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenosa Kosicho Okafor, M.D.

  • Hospitalist Physician
  • Morris, IL
  • NPI 1184967838

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1205584422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 ASH ST",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222214",
            "telephone_number": "708-577-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "KENOSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-577-8160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOMEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Young Kim, D.O.
• Teresa King
• Kingdom Living Outreach Services, Inc
• Malgorzata Kiwacz, O.D.
• Anjelica Kokinias, DO
• Shreya Kondle
• Nicholas Daniel Konicek, DO
• Jamie Lynn Koopman, MD
• Magdalena Kotseva, M.D.
• Alexander M. Kravets, MD

• Internal Medicine Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.