KEY I. NAM, MD, SC. (NPI# 1457526063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457526063 |
Entity Type | Organization |
Organization Name | KEY I. NAM, MD, SC. |
Practice Address |
3434 W Peterson Ave Suite 202 Chicago IL 60659-3319 |
Practice Telephone | 7732670781 |
Mailing Telephone | 7732670781 |
Enumeration Date | 2008-04-24 |
Last Update Date | 2008-06-03 |
Authorized Official Name | KEY I NAM (MD) |
Authorized Official Telephone | 7732670781 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | 036043256 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3434 W PETERSON AVE SUITE 202 |
City | CHICAGO |
State | IL |
Zip Code | 60659-3319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114909363 | Annie John, M.d.s.c. | Licensed Practical Nurse | 3434 W Peterson Ave, 1a, Chicago, IL 60659-3319 | 2005-11-15 |
1386021954 | Ko Dental Care P.C. | Dentist | 3434 W Peterson Ave, Suite 1d, Chicago, IL 60659-3319 | 2015-05-02 |
1992979058 | Hugo H Muriel Mdsc | Internal Medicine | 3434 W Peterson Ave, Chicago, IL 60659 | 2008-04-18 |
1558534826 | Sheldon D Schwartz Md Sc | Internal Medicine | 3434 W Peterson Ave, Suite #1a, Chicago, IL 60659-3300 | 2008-04-08 |
1013106830 | Jae Ko | Dentist | 3434 W Peterson Ave, Suite 1d, Chicago, IL 60659-3319 | 2007-10-17 |
1922180330 | Keith K Nam | Internal Medicine | 3434 W Peterson Ave, Suite 202, Chicago, IL 60659-3319 | 2006-10-19 |
1306866124 | Tong Su Kim | Pediatrics | 3434 W Peterson Ave, 1c, Chicago, IL 60659 | 2006-07-21 |
1295760783 | Jalajakshi Potluri | Internal Medicine | 3434 W Peterson Ave, Chicago, IL 60659-3319 | 2006-07-12 |
1225013998 | Annie John | Internal Medicine | 3434 W Peterson Ave, 1a, Chicago, IL 60659-3319 | 2005-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
Find all providers in zip 60659 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083070403 | Katerina Savino | Specialist/Technologist | 3823 N Ashland Ave, Chicago, IL 60613-5828 | 2016-01-14 |
1538329842 | Carlos Andres Vazquez | Specialist/Technologist | 10743 S Avenue L, Chicago, IL 60617-6602 | 2008-06-10 |
1790800043 | Veronica E. Moreno | Specialist/Technologist | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-03-19 |
1952901506 | Joan Kristen Riley | Specialist/Technologist | 259 E Erie St Ste 2400, Chicago, IL 60611-3907 | 2020-10-31 |
1366059289 | Jacob Stoner | Specialist/Technologist | 3225 W Foster Ave, Chicago, IL 60625-4823 | 2020-09-24 |
1538527882 | Regnald Harris | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-02-02 |
1023474806 | Kevin O'malley | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-01-08 |
1528424660 | Stephen Buskirk | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-01-05 |
1164718102 | Kyle Gadbois | Specialist/Technologist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2011-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871139949 | Meryl Swidler | Specialist/Technologist | 44w625 Plato Rd, Burlington, IL 60109-1086 | 2019-11-22 |
1316174493 | David Knight | Specialist/Technologist | 66 Bradford Ln, Mundelein, IL 60060-2073 | 2009-06-16 |
1710147046 | Megan Maria Ziomek-feldman | Specialist/Technologist | 8440 Callie Ave, #301, Morton Grove, IL 60053-5011 | 2008-06-10 |
1215118922 | Angela Sorensen | Specialist/Technologist | 616a W 5th Ave # A, Naperville, IL 60563-2902 | 2007-11-21 |
1174657605 | Kathryn Ruth Schwerman | Specialist/Technologist | 21290 Sylvan Dr S, Mundelein, IL 60060-9518 | 2007-03-15 |
1548318298 | Richa Vohra | Specialist/Technologist | 24039 W Lockport Rd, Plainfield, IL 60544-1832 | 2007-01-08 |
1255300117 | Kenneth A. Stiff | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2006-03-14 |
1467811927 | Donna Rathunde | Specialist/Technologist | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2016-02-12 |
1881050698 | George Ashley | Specialist/Technologist | 1900 E Main St, Danville, IL 61832-5100 | 2016-01-08 |
1992194773 | Ericka Doan | Specialist/Technologist | 2988 Court St, Pekin, IL 61554-6229 | 2015-01-15 |
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.