EUN HA KIM (NPI# 1164540480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164540480 |
| Entity Type | Individual |
| Full Name | EUN HA KIM |
| Credential | NP |
| Practice Address |
2160 S. First Ave. Room 1862a Maywood IL 60153 |
| Mailing Address |
323 Fernwood Ln Glenview IL 60025-4812 |
| Practice Telephone | 7082164542 |
| Practice Fax Number | 7082166961 |
| Mailing Telephone | 8478321027 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-002887 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407301328 | Eun Kim | Social Worker | 229 Shelbourne, Irvine, CA 92620-2176 | 2016-08-20 |
| 1306213400 | Eun Kim | Pharmacist | 125 Sw Campus Dr Apt 23-203, Federal Way, WA 98023-8331 | 2015-08-25 |
| 1043618507 | Eun Kim | Chiropractor | 411 Atlas St Ste A, Brea, CA 92821-3143 | 2014-12-16 |
| 1881091809 | Eun Kim | Student in an Organized Health Care Education/Training Program | 1720 E. 120th St., Los Angeles, CA 90059 | 2014-11-20 |
| 1467678227 | Eun Hee Kim | Dentist | 1135 Nw Gilman Blvd Ste F5, Issaquah, WA 98027-5345 | 2007-04-18 |
| 1356363279 | Eun Joo Kim | Chiropractor | 28245 Southfield Rd, Lathrup Village, MI 48076-2863 | 2006-07-24 |
| 1063476091 | Eun Hyuk Kim | Pediatrics | 1832 Dry Creek Rd, Neonatology Department, San Jose, CA 95124-1200 | 2006-04-14 |
| 1982189742 | Eun Zee Kim | Audiologist-Hearing Aid Fitter | 26726 Crown Valley Pkwy Ste 210, Mission Viejo, CA 92691-8006 | 2018-09-27 |
| 1952802340 | Eun Mi Kim | Physical Therapist | 7803 New Falls Rd Ste B, Levittown, PA 19055-1019 | 2018-02-22 |
| 1891104972 | Eun Kim | Marriage & Family Therapist | 7212 Orangethorpe Ave, Suite 8, Buena Park, CA 90621-3341 | 2014-08-04 |
| Street Address |
2160 S. FIRST AVE. ROOM 1862A |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932245578 | Alexander Ree | Radiology | 2160 S. First Ave., Radiology Department, Maywood, IL 60153 | 2007-01-30 |
| 1942828801 | Kelly Victoria Buh | Genetic Counselor, MS | 2160 S. First Ave., Building 150, Room 2656, Maywood, IL 60153 | 2020-07-08 |
| 1700271830 | Jasleen Singh | Internal Medicine | 2160 S. First Ave., Maywood, IL 60153 | 2015-04-06 |
| 1922355122 | Anthony Thomas Pawlisz | Physical Therapy Assistant | 2160 S. First Ave., Maywood, IL 60153 | 2012-08-07 |
| 1134361231 | Agnes Renee Libot | Internal Medicine | 2160 S. First Ave., Maywood, IL 60153 | 2009-04-03 |
| 1366680498 | Daria Ruffolo | Registered Nurse | 2160 S. First Ave., Maywood, IL 60153 | 2009-01-28 |
| 1528217288 | Nadia Kaleem Qureshi | Pediatrics | 2160 S. First Ave., Maywood, IL 60153 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794084 | Kimberly Raye Barker- Price | Nurse Practitioner | 1206 S 14th Ave, Maywood, IL 60153-1835 | 2020-06-11 |
| 1104384619 | Liliya Serada | Nurse Practitioner | 24 Beech St, Maywood, NJ 07607-1821 | 2019-03-04 |
| 1619490083 | Allyson Petruzziello | Nurse Practitioner | 255 W Spring Valley Ave Ste 101, Maywood, NJ 07607-1444 | 2017-07-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1992320592 | Jeslyn John | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-10 |
| 1619438744 | Bryant Motykowski | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-29 |
| 1275091548 | Robin Marie Loewe | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-06 |
| 1346725009 | Jodie E Cox | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-09-28 |
| 1487136131 | Meghan Donahoe | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-08-29 |
| Find all providers in MAYWOOD | ||||
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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.