SUE KIM (NPI# 1124014642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124014642 |
| Entity Type | Individual |
| Full Name | SUE KIM |
| Credential | MD |
| Practice Address |
3633 W Lake Ave Suite 300 Glenview IL 60026-5805 |
| Mailing Address |
35422 Eagle Way Chicago IL 60678-1354 |
| Practice Telephone | 8477299122 |
| Practice Fax Number | 8477299134 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
036-109449 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-109449 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773577 | Sue Young Kim | Speech-Language Pathologist | 1704 Hopefield Rd, Silver Spring, MD 20905-4112 | 2019-04-30 |
| 1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
| 1194184804 | Sue Young Kim | Dentist | 1515 Crenshaw Blvd, Torrance, CA 90501-2436 | 2016-02-23 |
| 1972986107 | Sue Kim | Dentist | 24128 130th Ave Se, Kent, WA 98030-9209 | 2015-07-07 |
| 1942603691 | Sue Kim | Pharmacist | 24624 Van Zandt Ave, Little Neck, NY 11362-1239 | 2014-10-08 |
| 1245661719 | Sue Kim | Specialist | 3636 172nd St, #86, Flushing, NY 11358-2397 | 2013-12-09 |
| 1124280987 | Sue Kim | Physician Assistant | 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 | 2008-07-01 |
| 1164509097 | Sue Kim | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2006-10-31 |
| 1649249889 | Sue H Kim | Psychologist | One Chalet Dr Ste 106, The Summit Executive Offices, Wilton, NH 03086-0844 | 2006-03-17 |
| 1629061247 | Sue Yeun Kim | Obstetrics & Gynecology | 140 Hoverhill St, Andover Ob/gyn, Andover, MA 01810 | 2005-08-30 |
| Street Address |
3633 W LAKE AVE SUITE 300 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519083 | Jennifer Lynn Ernst | Counselor | 3633 W Lake Ave, Glenview, IL 60026-5805 | 2017-06-28 |
| 1487103354 | Drozdz Dental Services, Inc. | Clinic/Center | 3633 W Lake Ave, Suite 409, Glenview, IL 60026-5805 | 2016-10-03 |
| 1760840870 | Pediatric Consultation Center and Associates LLC | Clinical Neuropsychologist | 3633 W Lake Ave, Suite 406, Glenview, IL 60026-5805 | 2016-02-03 |
| 1720473275 | Kathryn Padula | Social Worker | 3633 W Lake Ave, Suite 306, Glenview, IL 60026-5805 | 2015-04-01 |
| 1497153951 | Independent Living Home Care, Inc | In Home Supportive Care | 3633 W Lake Ave, Ste Ll22b, Glenview, IL 60026-5805 | 2014-12-16 |
| 1467861005 | Andrea Gilman | Occupational Therapist | 3633 W Lake Ave, Suite 102d, Glenview, IL 60026-5805 | 2014-08-07 |
| 1487065132 | Megan Christine Williams | Counselor | 3633 W Lake Ave, Suite 305, Glenview, IL 60026-5805 | 2014-05-15 |
| 1871923474 | Advanced Care Health Services, Inc | Home Health | 3633 W Lake Ave, Glenview, IL 60026-5805 | 2013-11-18 |
| 1902243090 | Life Reset Solutions, P.C. | Clinic/Center | 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 | 2013-05-29 |
| 1619313244 | Excelcare Connect, Inc. | Home Health | 3633 W Lake Ave, Suite Ll21, Glenview, IL 60026-5805 | 2013-05-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336168 | Carol Gerson | Otolaryngology | 1031 Ashland Ave, River Forest, IL 60305-1435 | 2005-09-19 |
| 1295720159 | Ilana Seligman | Otolaryngology | L000 Central St., Enh Ent Suite 610, Evanston, IL 60201 | 2005-09-16 |
| 1487649315 | Lauren Holinger | Otolaryngology | 225 E. Chicago Ave., #25, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2005-09-16 |
| 1730171018 | David L. Walner | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1235556192 | Saied Ghadersohi | Otolaryngology | 225 E Chicago Ave # 25, Chicago, IL 60611-2991 | 2014-03-27 |
| 1275899155 | Jason Ramsey Bell | Otolaryngology | 2160 S 1st Ave, Building 105 Room 1870, Maywood, IL 60153-3328 | 2012-04-05 |
| 1912295379 | Valerie Cote | Otolaryngology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2011-07-19 |
| 1366741548 | Taher Valika | Otolaryngology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-03-27 |
| 1093017626 | Adventist Health Partners, Inc | Otolaryngology | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2010-12-02 |
| 1629228580 | Karla Renee Cheatham Brown | Otolaryngology | 110 Sunrise Trl, Carbondale, IL 62902-7523 | 2008-09-26 |
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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.