CHANG KWON KIM


Address: 0n300 Armstrong Ln, Geneva, IL 60134-6081
Phone: 6302081700

CHANG KWON KIM (NPI# 1104883768) 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) 1104883768
Entity Type Individual
Full Name CHANG KWON KIM
Credential M.D.,F.A.C.S.
Practice Address 0n300 Armstrong Ln
Geneva
IL 60134-6081
Mailing Address Po Box 546
St Charles
IL 60174-0546
Practice Telephone 6302081700
Mailing Telephone 6302081700
Mailing Fax Number 6302081707
Enumeration Date 2006-04-27
Last Update Date 2013-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 036060318 IL Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
036060318 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036060318 05

Other Providers CHANG KIM

NPI Name Taxonomy Address Enumeration
1780036475 Chang Kim Dentist 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6118 2016-07-06
1285019059 Chang Kim Chiropractor 2576 Royal Ln, Dallas, TX 75229-3417 2015-07-22
1902242258 Chang Sung Kim Chiropractor 2391 Bell Blvd Ste 205, Bayside, NY 11360-2019 2013-05-14
1528373511 Chang H. Kim Acupuncturist 9401 Mathy Dr Ste 100, Fairfax, VA 22031 2010-08-13
1568641199 Chang K Kim Acupuncturist 326 Reservation Rd, Suite E, Marina, CA 93933-3257 2007-10-31
1063516458 Chang Nam Kim Psychiatry & Neurology 1200 Us Highway 46, Clifton, NJ 07013-2440 2006-09-07
1477971430 Chang Hoon Kim Internal Medicine 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2014-04-06
1447375340 Chang W Kim Psychiatry & Neurology 1500 Waters Pl, Bronx, NY 10461-2723 2007-03-20
1942339676 Chang Choo Kim Counselor 35425 W Michigan Ave, Wayne, MI 48184-1687 2007-03-06
1720152507 Chang O. Kim Orthopaedic Surgery 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 2006-11-20

Office Location

Street Address 0N300 ARMSTRONG LN
City GENEVA
State IL
Zip Code 60134-6081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831391689 Chang K Kim Md PC Surgery 0n300 Armstrong Ln, Geneva, IL 60134-6081 2007-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902403918 Glenda Creighton Physical Therapist 0n 801 Friendship Way, Geneva, IL 60134 2020-10-02
1467912212 Cierra Monae French Family Medicine Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 2019-03-20
1497246227 Linda Huber Psychologist 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 2018-05-29
1003305459 Nicole Collins Specialist/Technologist 1125 Lewis Road, Geneva, IL 60134 2018-05-01
1013438704 Emily Byars Clinic/Center 1111 Greenfield Circle, Geneva, IL 60134 2017-07-03
1982142980 Samantha Courtney Counselor 1120 Randall Ct., Geneva, IL 60134 2017-02-09
1073055026 Physical Rehabilitation Clinics Physical Therapist 507 S. 3rd St. Unit I, Geneva, IL 60134 2016-11-08
1265868707 Gina Marie Gilchrist Dietitian, Registered 39w479 W Haladay Ln, Geneva, IL 60134 2013-09-16
1770823585 William A. Goodfellow General Practice 1010 S. Batavia Ave., Geneva, IL 60134 2013-02-15
1467705392 Kylie L Mack Physician Assistant 351 Delnor Dr #100, Geneva, IL 60134 2012-10-16
Find all providers in zip 60134

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093000580 Mark Anthony Ilko Surgery 200 North St Ste 203, Geneva, NY 14456-1561 2011-06-13
1861642324 David Burton Matloff Surgery 172 Dwyer Dr, Geneva, NY 14456 2008-09-22
1801997218 Dale G Mitchum Surgery 100 W Lake Professional Park Ste 2, Geneva, AL 36340-1200 2006-09-26
1689606006 Amitabh Goel Surgery 870 W Main St # 201, Geneva, OH 44041-1219 2006-07-07
1750361408 Peter Francis D'silva Surgery 821 Pre-emption Road, Suite 302, Geneva, NY 14456-2061 2006-01-19
1700881737 Andrew J Kramer Surgery 1665 South St, Geneva, IL 60134-2542 2005-06-16
1619972643 Paul R Batty Surgery 351 Delnor Dr, Ste 406, Geneva, IL 60134-4222 2005-06-16
1972860047 Lee Advanced Breast Care LLC Surgery 2631 Williamsburg Ave, Suite 102, Geneva, IL 60134-1107 2012-04-13
1609187590 Jaclyn Beth Wierzbicki Surgery 351 Delnor Dr, Geneva, IL 60134-4220 2010-06-25
1194975128 Benjamin J Bryant Surgery 870 W Main St, Geneva, OH 44041-1219 2008-09-26
Find all providers in GENEVA

Competitor

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City GENEVA
Zip Code 60134

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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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