Lamoine Valley Clinic, S. C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042618390 Issued in IL

Legal business name

LAMOINE VALLEY CLINIC, S. C.

Practice address

5 Doctors LN
Macomb, IL 61455-3369

Phone

(309) 836-3387

Fax

(309) 833-1023

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Kathy Hamm

Title

Office Manager

Phone

(309) 836-3387

Specialties & licenses 1

Addresses

Practitioners 2

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

• Sujata A Karkare, MD, PH. D

  • Internal Medicine Physician
  • Moline, IL
  • NPI 1164430161
  NPD
• Janis J Whitehead, RN, FNP

  • Primary Care Nurse Practitioner
  • Pomeroy, WA
  • NPI 1316930795
  NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1861485252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DOCTORS LN",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553369",
            "telephone_number": "309-836-3387",
            "fax_number": "309-833-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOCTORS LN",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553369",
            "telephone_number": "309-836-3387",
            "fax_number": "309-833-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMOINE VALLEY CLINIC, S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-836-3387"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042618390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Kwong
• Kyte River Emergency Physicians PLLC
• Jessica Laber, A.T.C./L
• Kimberley S Laird, LCPC
• Lakeview Medical & Psychiatric Healthcare LLC
• Andrea B. Lawrence, APRN
• Kathy E Lee, MSED, LCPC, CADC,
• Brooke Julianna Levister, PHARM. D.
• Xiaolu (Sherry) Li, M.D.
• Victor Erude Lidaywa, DPT

• Internal Medicine Physician in Macomb, IL
• Providers in Macomb, 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 Aug 2, 2010; 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.