DR. WALTER KANG (NPI# 1417381054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417381054 |
| Entity Type | Individual |
| Full Name | DR. WALTER KANG |
| Credential | PHARMD |
| Practice Address |
4201 W Medical Center Dr Mchenry IL 60050-8409 |
| Practice Telephone | 8157594400 |
| Practice Fax Number | 8157598090 |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2013-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
051.293507 | IL | Pharmacy Service Providers |
| Street Address |
4201 W MEDICAL CENTER DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973458 | John A. Sharum | Physician Assistant | 4201 W Medical Center Dr, Emergency Department, Mchenry, IL 60050-8409 | 2005-09-27 |
| 1245869502 | Haile E Fitzgerald | Nurse Anesthetist, Certified Registered | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-07 |
| 1013546639 | Thiago Gagliano Juca Domingues De Oliveira | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-06 |
| 1619506508 | Shirly Susan Samuel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-03 |
| 1831728856 | Grace Ying | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1356970347 | Om Parkash | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1164052023 | Apollo Medflight, LLC | Ambulance | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-01-20 |
| 1770142622 | Annie Maria Skariah | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-12 |
| 1730747809 | Aatma Ram | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-03 |
| 1245898923 | Harvey Patel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265804553 | Jong Park | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2015-10-26 |
| 1932512308 | Katherine Senycia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2014-06-03 |
| 1447662812 | Christy Cosmano | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2014-05-20 |
| 1134539869 | Dileep Koottanal | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2014-05-02 |
| 1386079010 | Monica Perrin | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2013-09-12 |
| 1528492600 | Heather Michelle Salinger | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2013-08-26 |
| 1316210685 | Kanan Uday Shah | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2012-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1740647767 | William Patrick Johnson Jr. | Pharmacist | 505 Jeffrey Pine Ct, O Fallon, IL 62269-2554 | 2016-01-21 |
| 1114382314 | Archariya Puangampai | Pharmacist | 4178 S Emerald Ave, Chicago, IL 60609-2645 | 2015-12-15 |
| 1285000992 | Dana Christine Losch | Pharmacist | 9000 W Golf Rd, Niles, IL 60714-5805 | 2015-08-17 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1033520705 | Donald Lellish | Pharmacist | 815 N. Randall Rd, Elgin, IL 60123 | 2014-05-15 |
| 1649680505 | Amanda E Gorman | Pharmacist | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2014-05-01 |
| 1346650231 | Chayani Pam Kaenkumchorn | Pharmacist | 11305 W Lincoln Hwy, Mokena, IL 60448-2070 | 2014-05-01 |
| 1245640242 | Allison Ostrander | Pharmacist | 7111 Cermak Rd, Berwyn, IL 60402-2145 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
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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.