DR. DONG S KIM (NPI# 1255307104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255307104 |
| Entity Type | Individual |
| Full Name | DR. DONG S KIM |
| Credential | MD |
| Practice Address |
4709 Golf Rd Ste 812 Skokie IL 60076-1258 |
| Mailing Address |
489 Willow Rd Winnetka IL 60093 |
| Practice Telephone | 8474108442 |
| Practice Fax Number | 8474108443 |
| Mailing Telephone | 8474108442 |
| Mailing Fax Number | 8474108443 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036101382 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036101382 | 05 | |
| IL | BS OF ILL | 01622554 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
| 1447577333 | Dong Hyun Kim | Anesthesiology | 2593 Woodland Dr, Ogden, UT 84403-5111 | 2010-05-01 |
| 1003006826 | Dong S Kim | Acupuncturist | 23300 Cinema Dr Ste 240, Valencia, CA 91355-1776 | 2007-07-27 |
| 1588875116 | Dong Jin Kim | Dentist | 69420 Ramon Rd, Cathedral City, CA 92234-3349 | 2007-05-25 |
| 1821203282 | Dong M Kim | Dentist | 1055 S Alvarado St, Los Angeles, CA 90006-3711 | 2007-05-11 |
| 1679694293 | Dong Won Kim | Dentist | 133 Market St, Lowell, MA 01852-1808 | 2007-04-02 |
| 1962538728 | Dong Kim | Chiropractor | 1111 N. Brand Blvd., 402, Glendale, CA 91202-3071 | 2007-02-26 |
| 1659414159 | Dong O Kim | Acupuncturist | 201 S. Alvarado St., Suite #609, Los Angeles, CA 90057-2320 | 2007-02-14 |
| 1225198021 | Dong Ho Kim | Dentist | 15072 Rosecrans Ave, La Mirada, CA 90638-4740 | 2006-12-11 |
| 1003870437 | Dong K Kim | Dentist | 1757 W Carson St, Suite E, Torrance, CA 90501-2837 | 2006-04-13 |
| Street Address |
4709 GOLF RD STE 812 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619785 | Harry M Goldin | Specialist | 4709 Golf Rd, 1000, Skokie, IL 60076-1231 | 2005-09-20 |
| 1902339369 | Abt Dental Associates LLC | Dentist | 4709 Golf Rd, Ste 1005, Skokie, IL 60076-1231 | 2017-04-04 |
| 1932642238 | Patrick Rice | Physician Assistant | 4709 Golf Rd, Skokie, IL 60076-1231 | 2016-11-18 |
| 1861862344 | Maximilian Reinke | Physical Therapist | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-09-28 |
| 1811371990 | Orthopaedics & Rheumatology of The North Shore | Clinic/Center | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-07-17 |
| 1952793739 | Retina Care, LLC | Ophthalmology | 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2015-03-03 |
| 1114325792 | Beth Funk, Psy.d, LLC | Psychologist | 4709 Golf Rd, Ste 1150, Skokie, IL 60076-1231 | 2014-12-12 |
| 1548667165 | Orthopaedics of The North Shore | Internal Medicine | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2014-11-25 |
| 1841600020 | Ashley Drew Kauffman | Dentist | 4709 Golf Rd, Suite 1005, Skokie, IL 60076-1231 | 2014-04-28 |
| 1245669076 | Carolyn A. Barsano, Psy. D. LLC | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245483197 | Comfort Health Network Sc | Internal Medicine | 8254 Kimball Avenue, Skokie, IL 60076-2976 | 2008-10-23 |
| 1245414432 | Curtis Howard Weiss | Internal Medicine | 9650 Gross Point Rd Ste 602, Skokie, IL 60076-1214 | 2007-12-24 |
| 1386845790 | Ysls Limited | Internal Medicine | 4860 West Oakton Street, Ysls Limited, Skokie, IL 60077 | 2007-05-31 |
| 1629190137 | Morton Miller, M.d. | Internal Medicine | 4350 Golf Rd, Skokie, IL 60076-1480 | 2007-04-04 |
| 1043351745 | Constance Anne Catellani | Internal Medicine | 7830 Kilbourn Ave, South Entrance, Skokie, IL 60076-3512 | 2007-02-08 |
| 1740343193 | Ellen Fertelmeister | Internal Medicine | Pms 8170 Mc Cormick Blvd, Suite 204, Skokie, IL 60076-2920 | 2006-12-18 |
| 1013007368 | Pinnacle Health Sc | Internal Medicine | 9955 Karlov Ave, Skokie, IL 60076-1117 | 2006-10-14 |
| 1972609253 | Yury L Shapiro | Internal Medicine | 4860 W Oakton, Oakton Health Center, Skokie, IL 60077-2953 | 2006-09-15 |
| 1083721716 | Advanced Medical Associates, Sc | Internal Medicine | 4711 W Golf Rd, #806, Skokie, IL 60076 | 2006-08-25 |
| 1295742856 | Lyugen Adult Clinic P.C. | Internal Medicine | 7013 Lorel Ave, Skokie, IL 60077-3489 | 2006-08-03 |
| Find all providers in SKOKIE | ||||
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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.