DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KBCLINIC

MEDICARE: KBCLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician036093795IL

General Provider Information

NPI Number : 1912146119
Entity Type Code : Organization
Provider Name (Legal Business Name) : KBCLINIC
Provider Business Mailing Address
First Line : 6838 N KILPATRICK AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-2437
Country : US
Telephone Number : 847-763-9241
Fax Number :
Provider Business Practice Location Address
First Line : 5666 EAST STATE STREET
Second Line : AMBULATORY SURGERY CENTER/ DR BLUMOFE
City : ROCKFORD
State : IL
Zip : 61108-2425
Country : US
Telephone Number : 815-227-2274
Fax Number :
Authorized Official
Title or Position : GENERAL SURGEON
Name : DR. KARIN ANNIKA BLUMOFE
Credential : MD
Telephone Number : 815-227-2274
Provider Enumeration Date : 02/11/2009
Last Update Date : 02/11/2009

Similar Medicare Providers

1699478305 — DR. ALLYSON OTTEN DPM
Practice Location Address:
5666 E STATE ST
ROCKFORD, IL
61108-2425
Practice Phone: 815-395-5190
Practice Fax:
1508180860 — KRISTA FISTE SLP
Practice Location Address:
5666 E STATE ST
ROCKFORD, IL
61108-2425
Practice Phone: 815-226-2000
Practice Fax:
1376527168 — PUSHPA K MAMTANI MD
Practice Location Address:
5666 E STATE ST
ROCKFORD, IL
61108-2425
Practice Phone: 815-226-2000
Practice Fax:
1881674299 — DAVID LAIB MD
Practice Location Address:
5666 E STATE ST
ROCKFORD, IL
61108-2425
Practice Phone: 815-395-5108
Practice Fax:
1861462616 — DR. LISA A DAVIS M.D.
Practice Location Address:
5666 E STATE ST
ROCKFORD, IL
61108-2425
Practice Phone: 815-226-2000
Practice Fax:
1043280811 — CHRISTOPHER M. NIELSEN M.D.
Practice Location Address:
5666 EAST STATE STREET
ROCKFORD, IL
61108-2425
Practice Phone: 815-226-2000
Practice Fax: 608-826-2710
1003873886 — CHRISTOPHER VITTORE
Practice Location Address:
5666 E STATE ST
ROCKFORD, IL
61108-2425
Practice Phone: 815-226-2000
Practice Fax:

Directions to “KBCLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.