MARY KIM (NPI# 1184165516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184165516 |
| Entity Type | Individual |
| Full Name | MARY KIM |
| Credential | D.M.D. |
| Practice Address |
251 E Huron St Chicago IL 60611-2908 |
| Mailing Address |
500 Prestwick Ln Wheeling IL 60090-6231 |
| Practice Telephone | 3129262000 |
| Mailing Telephone | 8476680125 |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019031189 | IL | Dental Providers |
| Y | 122300000X | Dentist | 34965 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053729467 | Mary Grace Kim | Dentist | 8321 W Golf Rd, Niles, IL 60714-1113 | 2014-07-29 |
| 1568581536 | Mary M. Kim | Optometrist | 978 Main St., S. Weymouth, MA 02190 | 2007-03-28 |
| 1902880123 | Mary M. Kim | Internal Medicine | 1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 | 2005-12-01 |
| 1497301261 | Mary Suhyun Kim | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2019-08-16 |
| 1861975344 | Mary Kim | Registered Nurse | 6223 N Canton Center Rd Ste 201, Canton, MI 48187-2696 | 2018-09-11 |
| 1730523309 | Mary E Kim | Dermatology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-04-25 |
| 1275720930 | Mary Kim | Physician Assistant | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-09-26 |
| 1790804060 | Mary Wai Ming Kim | Dentist | 1441 Kapiolani Blvd, Suite 1515, Honolulu, HI 96814 | 2007-03-28 |
| 1508998782 | Mary Ann Kim | Dentist | 233 S Wacker Dr, Lower Level 1, Chicago, IL 60606-6306 | 2007-03-12 |
| 1780724435 | Mary I Kim | Physical Medicine & Rehabilitation | 11406 Loma Linda Dr, Suite 516, Loma Linda, CA 92354-3711 | 2007-02-08 |
| Street Address |
251 E HURON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169636 | George Chiampas | Emergency Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2005-07-29 |
| 1316544067 | Valerie E Musolf | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-06 |
| 1326645193 | Colleen Nash | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-05 |
| 1841807286 | Sara Schussler | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-29 |
| 1679188114 | James Andrew Wong | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1740895218 | Ryan Twilley | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1245845031 | Austin Tucker | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-09 |
| 1144834656 | Alana Telfer | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-02 |
| 1386257277 | Ashley Elizabeth Mathews | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-3055 | 2020-08-28 |
| 1982216776 | Thwisha Sabloak | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-2908 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MARY KIM.
| 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.