DR. SE SOOK SONE-JUNG (NPI# 1619024163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619024163 |
| Entity Type | Individual |
| Full Name | DR. SE SOOK SONE-JUNG |
| Credential | M.D. |
| Practice Address |
4909 W Division St Chicago IL 60651-3161 |
| Practice Telephone | 7739218100 |
| Practice Fax Number | 7739214428 |
| Mailing Telephone | 7739218100 |
| Mailing Fax Number | 7739214428 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036-056692 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4909 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60651-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316955651 | Rishi Pharmacy Inc | Pharmacy | 4909 W Division St, Chicago, IL 60651-3161 | 2006-08-03 |
| 1114498052 | Golden Rule Dental LLC | Dentist | 4909 W Division St, Chicago, IL 60651-3161 | 2018-12-17 |
| 1750745816 | Chicago City Of | Clinical Medical Laboratory | 4909 W Division St, Room 41, Chicago, IL 60651-3161 | 2016-04-05 |
| 1093102303 | Harmony Family Dental | Dentist | 4909 W Division St, 409, Chicago, IL 60651-3161 | 2015-04-24 |
| 1518359991 | Rodrigue Tinfang Md Family Health Ltd | Clinic/Center | 4909 W Division St, Suite 503, Chicago, IL 60651-3161 | 2015-02-23 |
| 1053753699 | Park West Family Dentistry, PC | Dentist | 4909 W Division St, #409, Chicago, IL 60651-3161 | 2013-07-24 |
| 1356614739 | Claire Marie Delaney | Social Worker | 4909 W Division St, Suite 404, Chicago, IL 60651-3161 | 2012-02-16 |
| 1124298492 | Circle Family Care | Clinic/Center | 4909 W Division St, Suite 307, Chicago, IL 60651-3161 | 2008-03-03 |
| 1124226998 | Missy Jean Bundy | Psychologist | 4909 W Division St, Chicago, IL 60651-3161 | 2007-07-03 |
| 1700969250 | Circle Family Care | Clinic/Center | 4909 W Division St, Suite 307, Chicago, IL 60651-3161 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1326596321 | Giselle Tisha Wallace | Nurse's Aide | 5809 W Rice, Chgo, IL 60651 | 2016-09-19 |
| 1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
| 1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
| 1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
| 1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
| 1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
| Find all providers in zip 60651 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| 1164068730 | Alexis Gasiorowski | Pediatrics | 737 N Michigan Ave Ste 870, Chicago, IL 60611-2615 | 2019-11-19 |
| 1265077424 | Vanessa Harvey | Pediatrics | 1620 W Harrison St # 7k, Chicago, IL 60612-3801 | 2019-11-12 |
| 1811458136 | Audrey Zeis | Pediatrics | 5841 S Maryland Ave # Mc8061, Chicago, IL 60637-1443 | 2019-03-28 |
| 1801357470 | Roohie Kaur Poonia | Pediatrics | 5721 S Maryland Ave Unit 1200, Chicago, IL 60637-1425 | 2019-03-27 |
| 1649762931 | Michael Zev Nevid | Pediatrics | Rush Pediatric Care Group, 1645 W. Jackson Blvd, Chicago, IL 60612-3276 | 2018-06-01 |
| 1649787342 | Yi Shao | Pediatrics | 5841 S Maryland Ave # 8016, Chicago, IL 60637-1443 | 2018-01-03 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in CHICAGO | ||||
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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.