DR. WON YANG KIM (NPI# 1366441875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366441875 |
| Entity Type | Individual |
| Full Name | DR. WON YANG KIM |
| Credential | M.D. |
| Practice Address |
920 West St Suite 218 Peru IL 61354-2763 |
| Mailing Address |
920 West St Ste 218 Peru IL 61354-2763 |
| Practice Telephone | 8152236443 |
| Practice Fax Number | 8152237019 |
| Mailing Telephone | 8152236443 |
| Mailing Fax Number | 8152237019 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036057302 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE PTAN | 110079916 | 01 |
| IL | 036057302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508022997 | Won Kim | Neurological Surgery | 18-228 Semel, Los Angeles, CA 90095-7039 | 2008-08-05 |
| 1578773958 | Won James Kim | Pharmacist | 69 New Rd, Parsippany, NJ 07054-4206 | 2007-05-23 |
| 1225242878 | Won Kim | Internal Medicine | 2100 S Euclid St Ste 102, Anaheim, CA 92802-4572 | 2007-05-10 |
| 1528129889 | Won Kim | Acupuncturist | 3240 Wilshire Blvd, Suite # 290, Los Angeles, CA 90010-1502 | 2006-12-12 |
| 1396831376 | Won S Kim | Chiropractor | 33130 Pacific Hwy S Ste 6, Federal Way, WA 98003-6440 | 2006-10-05 |
| 1366536153 | Won Il Kim | Ophthalmology | 8950 Brown Dr, Bethesda, MD 20889-5600 | 2006-10-03 |
| 1104488089 | Won Il Kim | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2019-07-01 |
| 1609018241 | Won Kyu Kim | Technician/Technologist | 13687 37th Ave, Flushing, NY 11354-4110 | 2009-03-27 |
| 1558528968 | Won Kim | Internal Medicine | 1600 Divisadero St, Box 1711, San Francisco, CA 94115-3010 | 2008-05-22 |
| 1891813754 | Won Kim | Acupuncturist | 1150 Yale St, 7, Santa Monica, CA 90403-4738 | 2007-03-27 |
| Street Address |
920 WEST ST SUITE 218 |
| City | PERU |
| State | IL |
| Zip Code | 61354-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114939 | Mark Allen Fernandez | Internal Medicine | 920 West St, Ste 311, Peru, IL 61354-2770 | 2005-06-16 |
| 1386199511 | Jennifer Leeann Olesen | Nurse Practitioner | 920 West St, Suite #311, Peru, IL 61354-2763 | 2016-08-17 |
| 1851764369 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 311, Peru, IL 61354-2763 | 2015-11-05 |
| 1598138000 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Bldg B, Peru, IL 61354-2763 | 2015-11-05 |
| 1831521947 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Sutie 312, Peru, IL 61354-2763 | 2013-07-31 |
| 1467884650 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 312, Peru, IL 61354-2763 | 2013-07-30 |
| 1073871893 | Ram L & Neelam Goel Ptr | Internal Medicine | 920 West St, Suite 116, Peru, IL 61354-2763 | 2012-04-30 |
| 1912295270 | Illinois Valley Community Hospital | Family Medicine | 920 West St, Suite 311, Peru, IL 61354-2763 | 2011-07-20 |
| 1710281787 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 216, Peru, IL 61354-2763 | 2011-01-05 |
| 1699005678 | Angela Marie Vezzetti | Physician Assistant | 920 West St, Suite 312, Peru, IL 61354-2763 | 2010-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| 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 |
|---|---|---|---|---|
| 1518096767 | Ann Virae Collie | Internal Medicine | 285 W 12th St Ste 202, Peru, IN 46970-1654 | 2007-03-05 |
| 1376514273 | Mario E Cote | Internal Medicine | 710 Peoria St, Peru, IL 61354-3351 | 2006-01-30 |
| 1659359891 | Alice Buckley | Internal Medicine | 285 W 12th St Ste 206, Peru, IN 46970-1654 | 2006-01-06 |
| 1417942376 | Constantino Perales Jr. | Internal Medicine | 1016 7th St, Peru, IL 61354-2722 | 2005-09-16 |
| 1730184250 | Anthony Francis Politi | Internal Medicine | 3384 State Route 22, Peru, NY 12972-5305 | 2005-06-21 |
| 1033114939 | Mark Allen Fernandez | Internal Medicine | 920 West St, Ste 311, Peru, IL 61354-2770 | 2005-06-16 |
| 1124544077 | Peru Emergency Physicians, LLP | Internal Medicine | 925 West St, Peru, IL 61354-2757 | 2017-08-22 |
| 1255699138 | Peru Family Medicine, Pllc | Internal Medicine | 9 Elm St, Peru, NY 12972-2812 | 2012-04-27 |
| 1194031054 | Hammad Liaquat | Internal Medicine | 661 E Main St, Peru, IN 46970-2662 | 2010-08-28 |
| 1639335235 | Ioannis Karkatzounis | Internal Medicine | 925 West St, Peru, IL 61354-2757 | 2008-08-03 |
| Find all providers in PERU | ||||
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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.