DR. SUNG-LANA KIM (NPI# 1407809635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407809635 |
| Entity Type | Individual |
| Full Name | DR. SUNG-LANA KIM |
| Credential | MD |
| Practice Address |
10719 West 160th Street Orland Park IL 60467 |
| Mailing Address |
75 Remittance Drive Suite 6581 Chicago IL 60675-6581 |
| Practice Telephone | 7082263300 |
| Practice Fax Number | 7082264202 |
| Mailing Telephone | 7082263300 |
| Mailing Fax Number | 7082264202 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
036-091407 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE PROVIDER NUMBER | 200029585 | 01 |
| IL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER | 036091407 | 01 |
| IL | STATE LICENSE | 036-091407 | 01 |
| Street Address |
10719 WEST 160TH STREET |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407809528 | Michael John Meeker | Physician Assistant | 10719 West 160th Street, Orland Park, IL 60467-5541 | 2006-05-18 |
| 1457373953 | Midwest Orthopedic Consultants Sc | Orthopaedic Surgery | 10719 West 160th Street, Orland Park, IL 60467-5541 | 2006-07-24 |
| 1083661086 | George Branovacki | Orthopaedic Surgery | 10719 West 160th Street, Orland Park, IL 60467-5541 | 2006-05-27 |
| 1134174352 | Richard Dennis Lim | Orthopaedic Surgery | 10719 West 160th Street, Orland Park, IL 60467-5541 | 2006-05-24 |
| 1699728725 | Mark Fletcher Bordick | Physician Assistant | 10719 West 160th Street, Orland Park, IL 60467 | 2006-05-18 |
| 1811940034 | Jeremy Thomas Bell | Physician Assistant | 10719 West 160th Street, Orland Park, IL 60467-5541 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962638494 | Larry Vincent Najera IIi | Physical Medicine & Rehabilitation | 16514 106th Ct, Orland Park, IL 60467-4547 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256982 | Prm of Illinois | Physical Medicine & Rehabilitation | 625 N Michigan Ave Ste 810, Chicago, IL 60611-3110 | 2020-05-15 |
| 1346807724 | Complete Pain Management LLC | Physical Medicine & Rehabilitation | 16310 S Lincoln Hwy Ste 132, Plainfield, IL 60586-9100 | 2019-05-21 |
| 1376007757 | Jose Angel Munoz Jr. | Physical Medicine & Rehabilitation | 5035 W Parker Ave, Chicago, IL 60639-1603 | 2019-01-30 |
| 1770050668 | Prarie State Rehabilitation, LLC | Physical Medicine & Rehabilitation | 12220 S Cheyenne Dr, Palos Heights, IL 60463-1654 | 2018-10-29 |
| 1053806406 | Naperville Rehab and Medical Clinic PC | Physical Medicine & Rehabilitation | 445 Jackson Ave Ste 102, Naperville, IL 60540-5257 | 2018-06-28 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1992123004 | Bhavana Vaidya Md LLC | Physical Medicine & Rehabilitation | 10601 S Kilbourn Ave, Oak Lawn, IL 60453-5341 | 2014-04-04 |
| 1275966418 | Restorative Health Center Sc | Physical Medicine & Rehabilitation | 430 Barron Blvd, Grayslake, IL 60030-1666 | 2013-08-12 |
| 1629315312 | Chinatown Integrated Medicine Ltd | Physical Medicine & Rehabilitation | 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 | 2013-01-15 |
| 1760735377 | Suburban Medical & Rehab Clinic, Ltd | Physical Medicine & Rehabilitation | 269 S Roselle Rd, Schaumburg, IL 60193-1636 | 2012-10-19 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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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.