DR. MIKE TAE SEOK KIM (NPI# 1134396112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134396112 |
Entity Type | Individual |
Full Name | DR. MIKE TAE SEOK KIM |
Credential | M.D. |
Practice Address |
840 W Irving Park Rd Ste 201 Chicago IL 60613-3011 |
Mailing Address |
6131 Dempster St Morton Grove IL 60053-2953 |
Practice Telephone | 7739354470 |
Practice Fax Number | 7739355598 |
Mailing Telephone | 8479675010 |
Mailing Fax Number | 8479675147 |
Enumeration Date | 2008-05-09 |
Last Update Date | 2015-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036.123855 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104160910 | Mike Kim | Psychologist | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 | 2012-11-16 |
1568022242 | Mike Sunwoo Kim | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2519 | 2019-06-16 |
1184818973 | Mike Y Kim | Dentist | 14820 Pacific Ave S, Tacoma, WA 98444-4655 | 2007-09-05 |
1386764934 | Mike S. Kim | Pharmacist | 25965 Normandie Ave, Harbor City, CA 90710-3416 | 2007-03-29 |
1215968706 | Mike Kim | Chiropractor | 3511 W Olympic Blvd, 202, Los Angeles, CA 90019-3563 | 2006-07-05 |
Street Address |
840 W IRVING PARK RD STE 201 |
City | CHICAGO |
State | IL |
Zip Code | 60613-3011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346298932 | Chicago Prosthetics, Inc | Durable Medical Equipment & Medical Supplies | 840 W Irving Park Rd, Suite 207, Chicago, IL 60613-3011 | 2006-05-05 |
1598282329 | Damian Janusz Skalak | Physical Therapist | 840 W Irving Park Rd, Chicago, IL 60613-3011 | 2017-08-23 |
1215395652 | Joelle Jackson | Nurse Practitioner | 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 | 2016-01-30 |
1356707111 | Lubov Bakman | Clinical Nurse Specialist | 840 W Irving Park Rd, 301, Chicago, IL 60613-3011 | 2016-01-10 |
1588030373 | Grezelro Gonzales | Nurse Practitioner | 840 W Irving Park Rd, 301, Chicago, IL 60613-3011 | 2015-08-15 |
1124412168 | Katie Rahoi | Registered Nurse | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2015-03-27 |
1083005268 | Zivile Calderon | Nurse Practitioner | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2015-02-10 |
1720478829 | Christian De Guia | Nurse Practitioner | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2015-01-27 |
1871983288 | Erin Lark | Nurse Practitioner | 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 | 2015-01-23 |
1295159846 | Michele Bey | Nurse Practitioner | 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 | 2014-02-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
Find all providers in zip 60613 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
Find all providers in CHICAGO |
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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.