Kewanee Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KEWANEE MEDICAL CLINIC

Practice address

204 W South St
Kewanee, IL 61443-3661

Phone

(309) 853-5360

Fax

(309) 853-5106

NPI assigned

Sep 14, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James S Lindbom, MDNPI 1740205954

Title

Owner

Phone

(309) 853-5360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James S Lindbom, MD

  • Internal Medicine Physician
  • Kewanee, IL
  • NPI 1740205954
  Authorized official Same address or phone

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1730375593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433661",
            "telephone_number": "309-853-5360",
            "fax_number": "309-853-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433661",
            "telephone_number": "309-853-5360",
            "fax_number": "309-853-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWANEE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LINDBOM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-853-5360",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Kewanee Hospital (Hospice)
• Kewanee Hospital (Kewanee Hospital Family Health Clinic)
• Kewanee Hospital (Home Health)
• Kewanee Hospital
• Kewanee Hospital Pharmacy
• Kewanee Physical Therapy and Rehab Specialists
• Kewanee Physical Therapy and Rehab Specialists LLC
• Thomas U Kim, LCSW
• Katherine Kinsella, R.N, FNP
• Amanda K Kocis, DPT

• Internal Medicine Physician in Kewanee, IL
• Providers in Kewanee, 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 Dec 6, 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.