DR. REBEKAH GRACE KIM (NPI# 1306120019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306120019 |
| Entity Type | Individual |
| Full Name | DR. REBEKAH GRACE KIM |
| Credential | PHARMD |
| Practice Address |
4817 W Fullerton Ave Chicago IL 60639-2503 |
| Mailing Address |
600 N Lake Shore Drive Unit 1203 Chicago IL 60611-5081 |
| Practice Telephone | 7738897411 |
| Practice Fax Number | 7738894631 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.291510 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017444 | Rebekah Kim | Internal Medicine | 7205 Hanover Pkwy, Greenbelt, MD 20770-2014 | 2017-04-19 |
| 1093150054 | Rebekah Jeehae Kim | Pediatrics | 1119 E Monte Vista Ave # Ms 32-200, Vacaville, CA 95688 | 2013-05-03 |
| 1255744504 | Rebekah Kim | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2014-06-04 |
| 1841510534 | Rebekah Kim | Surgery | 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 | 2010-06-04 |
| Street Address |
4817 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003862129 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4817 W Fullerton Ave, Chicago, IL 60639-2503 | 2006-05-26 |
| 1295346146 | Phuong T Nguyen | Pharmacist | 4817 W Fullerton Ave, Chicago, IL 60639-2503 | 2020-08-13 |
| 1659655751 | Charles Crimaldi | Pharmacist | 4817 W Fullerton Ave, Chicago, IL 60639-2503 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| 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.