DR. JU HYUN KIM (NPI# 1114962164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114962164 |
| Entity Type | Individual |
| Full Name | DR. JU HYUN KIM |
| Credential | M.D. |
| Practice Address |
7600 W College Dr Palos Heights IL 60463-1001 |
| Mailing Address |
10555 Wildflower Rd Orland Park IL 60462-7446 |
| Practice Telephone | 7084482438 |
| Mailing Telephone | 7083491623 |
| Mailing Fax Number | 7083491772 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 03643112 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE IDENTIFICATION # | 362770138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861825960 | Ju Yun Kim | Nurse Practitioner | 3727 W 6th Street Ste 200, Los Angeles, CA 90005-3178 | 2013-08-13 |
| 1003203407 | Ju Kim | Social Worker | 320 W Temple St, Los Angeles, CA 90012-3208 | 2015-04-23 |
| 1841426194 | Ju Hyun Kim | Internal Medicine | 6550 Fannin St Ste 1901, Houston, TX 77030 | 2009-06-01 |
| 1548318413 | Ju Yun Kim | Otolaryngology | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-01-08 |
| 1376559427 | Ju Ee Kim | Surgery | 2525 Kings Hwy, Brooklyn, NY 11229-1705 | 2006-07-31 |
| Street Address |
7600 W COLLEGE DR |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309932 | James B Boscardin | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| 1730617036 | Allison M Coenen | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2017-05-31 |
| 1043765258 | Justine Vogel | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2016-08-17 |
| 1710388236 | Kasey Cartwright | Occupational Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-09-16 |
| 1174942718 | James E. Mccormick, D.m.d., M.s., Ltd. | Dentist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-04-10 |
| 1831518430 | Colleen Krambeck | Physical Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-04-10 |
| 1437584364 | Premiere General Medicine S C | Internal Medicine | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2013-09-10 |
| 1801221080 | Susan Damstra | Physical Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2013-09-06 |
| 1699028860 | Brian Marc Karshen | Dentist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2012-10-24 |
| 1487911459 | Kyle John Macgillis | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932441771 | Kevin Augustine Joseph | Pediatrics | 7110 W 127th St Ste 130, Palos Heights, IL 60463-1579 | 2013-03-19 |
| 1871714360 | Nicole Kelly Mozden | Pediatrics | 7330 W College Dr Ste 201, Palos Heights, IL 60463 | 2007-05-01 |
| 1942379771 | Sunita J Ginde | Pediatrics | 7600 West College Drive, 1st Floor, Palos Heights, IL 60463 | 2006-11-07 |
| 1073563243 | George I. Skarpathiotis | Pediatrics | 7110 W 127th St, Palos Heights, IL 60463-1571 | 2006-05-11 |
| 1265946982 | Pediatric Practice Alliance LLC | Pediatrics | 7110 W 127th St, Palos Heights, IL 60463-1571 | 2017-11-17 |
| 1952751760 | Stratos George Skarpathiotis | Pediatrics | 7110 W 127th St, Palos Heights, IL 60463 | 2016-06-13 |
| 1952782955 | Joyce Elugbadebo | Pediatrics | 7110 W 127th St, Palos Heights, IL 60463 | 2015-06-15 |
| 1831502269 | Rachel Holcomb | Pediatrics | 7110 W 127th St Ste 130, Palos Heights, IL 60463-1579 | 2014-06-03 |
| 1679830293 | Saira Ali Syed | Pediatrics | 7110 W 127th St, Palos Heights, IL 60463-1571 | 2012-04-19 |
| 1760768626 | Nicole Marie Pretet-falco | Pediatrics | 7110 W 127th St, St #130, Palos Heights, IL 60463-1571 | 2011-10-24 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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| 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.