BETTY KONG


Address: 2701 Patriot Blvd, Glenview, IL 60026-8039
Phone: 8476665664

BETTY KONG (NPI# 1033508817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033508817
Entity Type Individual
Full Name BETTY KONG
Practice Address 2701 Patriot Blvd
Glenview
IL 60026-8039
Mailing Address 680 N Lake Shore Dr
Chicago
IL 60611-4546
Practice Telephone 8476665664
Enumeration Date 2015-01-15
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 036149176 IL Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 125067947 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 2701 PATRIOT BLVD
City GLENVIEW
State IL
Zip Code 60026-8039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245215060 David J Palmer Ophthalmology 2701 Patriot Blvd, Glenview, IL 60026-8039 2005-12-14
1316590409 Northwestern Medical Faculty Foundation Durable Medical Equipment & Medical Supplies 2701 Patriot Blvd, Glenview, IL 60026-8039 2019-07-18
1699247502 Northwestern Memorial Hospital Family Medicine 2701 Patriot Blvd, Glenview, IL 60026-8039 2018-12-18
1033696562 Katie Marie Reidy Physician Assistant 2701 Patriot Blvd, Glenview, IL 60026 2018-07-27
1104318666 Krista Kay Puckett Nurse Practitioner 2701 Patriot Blvd, Glenview, IL 60026-8039 2018-05-31
1750815924 Ann Renee Manikas Physician Assistant 2701 Patriot Blvd, Glenview, IL 60026-8039 2017-04-14
1528599560 Megan Kosirog Internal Medicine 2701 Patriot Blvd, Glenview, IL 60026-8039 2017-03-22
1336508175 Chriselle Sloniker Registered Nurse 2701 Patriot Blvd, Glenview, IL 60026-8039 2016-02-22
1972980613 Elena Bryce Obstetrics & Gynecology 2701 Patriot Blvd, Glenview, IL 60026-8039 2015-05-01
1134515992 Robyn Wall Physician Assistant 2701 Patriot Blvd, #110, Glenview, IL 60026-8039 2015-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093322091 Aven Dones Occupational Therapy Assistant 2600 W Compass Dr, Glenview, IL 60026 2020-09-24
1528670692 Help and Healing Center LLC Psychologist 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 2020-08-20
1487288577 Susan D Taylor Physical Therapy Assistant Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 2020-02-27
1952868135 Beltone Holdings IIi, Inc. Hearing Instrument Specialist 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 2019-02-25
1588145007 Trislyn Deett Palmer Occupational Therapist Select Rehab, 2600 Compass Road, Glenview, IL 60026 2018-08-23
1528579901 Julia Elizabeth Sames Physician Assistant 2701 Patriot Blvd Ste 110, Glenview, IL 60026 2017-10-12
1316474711 Tru Impact Healthcare Sc Internal Medicine 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 2017-05-16
1700251519 Okoon Psychology Group PC Clinical Neuropsychologist 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 2015-12-04
1497136642 Nayantara S. Orekondy Internal Medicine 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 2015-06-13
1154745792 Eleanor Finney Vita Occupational Therapist 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 2014-02-18
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467462929 Lady C Dy Dermatology 1452 Waukegan Rd, Glenview, IL 60025-2121 2006-08-08
1255788238 Brodsky Dermatology LLC Dermatology 2601 Compass Rd, Ste 125, Glenview, IL 60026-8077 2016-05-19
1629443759 Dy Dermatology, LLC Dermatology 1452 Waukegan Rd, Glenview, IL 60025-2121 2015-12-01
1407086317 Benjamin R Marks Dermatology 2701 Patriot Blvd, Suite 250, Glenview, IL 60026-8039 2009-07-27
1477701357 Jessica Lane Borowicz Dermatology 2601 Compass Rd, Ste 125, Glenview, IL 60026-8077 2008-09-03
1346305067 Augusto Montalvo, Mdsc Dermatology 2400 Ravine Way, Suite#400, Glenview, IL 60025-7652 2006-12-22
1083670111 Marianne S Rosen Dermatology 2601 Compass Rd Ste 125, Glenview, IL 60026 2006-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275141251 Derick Dermatology, LLC Dermatology 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 2020-07-16
1063030252 Vitalskin Medical Group Il Pllc Dermatology 1111 W Kenyon Rd, Urbana, IL 61801-1010 2020-07-14
1447873831 Derick Dermatology, LLC Dermatology 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 2020-05-20
1346869393 Julia Katsnelson Md Sc Dermatology 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 2020-04-10
1114551983 Katherine Janezic Dermatology 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 2020-03-02
1013559400 Orsini Surgical Dermatology Sc Dermatology 1519 Legacy Cir, Naperville, IL 60563-3161 2019-10-17
1124675244 Kiracofe Md Medical, LLC Dermatology 719 South Blvd # 2903, Oak Park, IL 60302-2903 2019-08-22
1366009664 Derick Dermatology Dermatology 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 2019-05-22
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1891257853 Maria Estela Martinez Escala Dermatology 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 2019-04-01
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Competitor

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City GLENVIEW
Zip Code 60026

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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