ERIC KIM (NPI# 1326576968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326576968 |
| Entity Type | Individual |
| Full Name | ERIC KIM |
| Credential | MD |
| Practice Address |
2160 S. First Ave Bldg 102 Room 2606 Maywood IL 60153 |
| Practice Telephone | 7082166262 |
| Practice Fax Number | 7082163557 |
| Mailing Telephone | 7082166262 |
| Mailing Fax Number | 7082163557 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 125.070941 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1538535943 | Eric Moon Kim | Physical Therapist | 203 S Hampton St, Anaheim, CA 92804-2257 | 2015-08-19 |
| 1194161091 | Eric Sun Kim | Psychiatry & Neurology | 2965 Waverly Dr Apt 20, Los Angeles, CA 90039-2076 | 2013-05-17 |
| 1124463088 | Eric G Kim | Orthopaedic Surgery | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2013-05-06 |
| 1073890323 | Eric E Kim | Pharmacist | 800 W 1st St Apt 2704, Los Angeles, CA 90012-2435 | 2011-11-14 |
| 1871810150 | Eric Kim | Physical Medicine & Rehabilitation | 3116 Brookstone Dr, Effingham, SC 29541-4618 | 2010-04-27 |
| 1891828687 | Eric Kim | Dentist | 15785 Laguna Canyon Rd Ste 110, Irvine, CA 92618-3166 | 2007-03-13 |
| 1992856348 | Eric N Kim | Dentist | 300 Se 120th Ave Ste 600, Vancouver, WA 98683-4020 | 2007-01-14 |
| 1578660916 | Eric E. Kim | Internal Medicine | 4456 Manzanita Ave, Suite# C, Clearlake, CA 95422-7937 | 2006-09-20 |
| Street Address |
2160 S. FIRST AVE BLDG 102 ROOM 2606 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740376383 | Anthony Wing-yui Kam | Radiology | 2160 S. First Ave, Dept of Neurological Surgery, Maywood, IL 60153-3328 | 2006-10-04 |
| 1619439361 | Albert Gjeluci | Radiology | 2160 S. First Ave, Maywood, IL 60153 | 2019-04-02 |
| 1750841888 | Diana Trew | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave, Maguire 3rd Floor, Maywood, IL 60153 | 2019-03-24 |
| 1326507526 | Matthew Honda | Internal Medicine | 2160 S. First Ave, Maywood, IL 60153 | 2019-03-18 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609171982 | Javier Antonio Jardon | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270-2833 | 2011-01-19 |
| 1548343155 | David K Yoo | Ophthalmology | 2160 S First Ave 101 1740, Loyala University Medical Center, Maywood, IL 60153 | 2006-10-24 |
| 1477116275 | Connor James Baharozian | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-17 |
| 1124581780 | Nolan Jesse Adams | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-10 |
| 1316400328 | Sarah Everitt Griffin | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-08 |
| 1811457666 | Vishwaradh Goli Reddy | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-20 |
| 1174011761 | Clayton Kirk | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-29 |
| 1336636828 | Natalie Narie Chung | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153 | 2018-04-19 |
| 1225535669 | Erica Michelle Smith | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-11 |
| 1144750399 | Michael Beyer | Ophthalmology | 2160 S 1st Ave, Maywood, IL 60153 | 2017-06-19 |
| 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.