Kbclinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036093795 Issued in IL

Legal business name

KBCLINIC

Practice address

5666 East State Street
Ambulatory Surgery Center/ Dr Blumofe
Rockford, IL 61108-2425

Phone

(815) 227-2274

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Karin Annika Blumofe, MD

Title

General Surgeon

Phone

(815) 227-2274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1912146119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 N KILPATRICK AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122437",
            "telephone_number": "847-763-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 EAST STATE STREET",
            "address_2": "AMBULATORY SURGERY CENTER/ DR BLUMOFE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-227-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "BLUMOFE",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "ANNIKA",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "815-227-2274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036093795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amandeep Kaur, MD
• Maninder Kaur
• Leila Imogene Kayser, LMT
• Linda Kayser, LCPC
• KB Chiropractic Center, Inc.
• Tina Keen
• Matthew S. Keene, DPM
• Renee Lynn Keeney, CNM
• Valeria Lisa Kehoe, IBCLC, RLC, PMH-C
• Michaela Lee Keister, DPT

• Surgery Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.