DR. RONALD J KIM (NPI# 1447451554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447451554 |
| Entity Type | Individual |
| Full Name | DR. RONALD J KIM |
| Credential | M.D |
| Practice Address |
900 N Westmoreland Rd Suite 228 Lake Forest IL 60045-1674 |
| Mailing Address |
900 N Westmoreland Rd Ste. 228 Lake Forest IL 60045-1674 |
| Practice Telephone | 8472950010 |
| Practice Fax Number | 8472955433 |
| Mailing Telephone | 8472950010 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036-126873 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669650933 | Ronald Kim | Podiatrist | 26 Fieldstone Dr, Syosset, NY 11791-4103 | 2008-02-08 |
| 1811267370 | Ronald Sung-won Kim | Pharmacist | 6130 U S Highway 49, Hattiesburg, MS 39401-7300 | 2011-12-30 |
| 1104076074 | Ronald Kim | Emergency Medicine | 1900 W Polk St, Chicago, IL 60612-3723 | 2008-09-26 |
| 1134215668 | Ronald C Kim | Dentist | 7301 Sepulveda Blvd, Suite 4, Van Nuys, CA 91405-1782 | 2006-10-04 |
| 1003915661 | Ronald C Kim | Pathology | 5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 | 2006-09-21 |
| 1013963156 | Ronald S. Kim | Emergency Medicine | 919 E 32nd St, Austin, TX 78705-2703 | 2006-05-26 |
| Street Address |
900 N WESTMORELAND RD SUITE 228 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366437352 | Sheri Ross | Pediatrics | 900 N Westmoreland Rd, 106, Lake Forest, IL 60045-1674 | 2005-09-15 |
| 1063821916 | Northwestern Medical Faculty Foundation | Optometrist | 900 N Westmoreland Rd, Lower Level 88, Lake Forest, IL 60045-1674 | 2014-08-05 |
| 1982958013 | Pediatrust, L.L.C. | Pediatrics | 900 N Westmoreland Rd, Suite 217, Lake Forest, IL 60045-1674 | 2012-10-26 |
| 1891093019 | James E Jupa Md Sc | Internal Medicine | 900 N Westmoreland Rd, Suite 108, Lake Forest, IL 60045-1674 | 2011-03-11 |
| 1205083383 | Envision Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 900 N Westmoreland Rd, Suite Ll84, Lake Forest, IL 60045-1681 | 2008-08-20 |
| 1265695530 | Kelsey Grimmer | Physician Assistant | 900 N Westmoreland Rd, Ste 222, Lake Forest, IL 60045-1674 | 2008-07-08 |
| 1780856799 | Elizabeth Q Wang | Nurse Practitioner | 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 | 2008-03-31 |
| 1700060704 | Justin J. Cohen | Urology | 900 N Westmoreland Rd, Suite 228, Lake Forest, IL 60045-1674 | 2007-12-27 |
| 1710179759 | Karen J Mass | Obstetrics & Gynecology | 900 N Westmoreland Rd, Suite 223, Lake Forest, IL 60045-1674 | 2007-08-14 |
| 1417157835 | Rosamaria Slominski | Specialist | 900 N Westmoreland Rd, Basement, Lake Forest, IL 60045-1674 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578540746 | Dennis A Pessis | Urology | 900 N Westmoreland Rd Ste 128, Lake Forest, IL 60045-1688 | 2005-12-28 |
| 1700060704 | Justin J. Cohen | Urology | 900 N Westmoreland Rd, Suite 228, Lake Forest, IL 60045-1674 | 2007-12-27 |
| 1821018185 | Michael S Mcguire | Urology | 800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1671 | 2006-07-20 |
| 1073577045 | Kristopher N. Atzeff | Urology | 900 N Westmoreland Rd, Suite 228, Lake Forest, IL 60045-1674 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.