DR. CHARLES CHULSEUNG PAIK (NPI# 1629236815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629236815 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CHULSEUNG PAIK |
| Credential | MD |
| Practice Address |
396 Remington Blvd Suite 130 Bolingbrook IL 60440-4302 |
| Practice Telephone | 6307591248 |
| Practice Fax Number | 6307590717 |
| Mailing Telephone | 6307591248 |
| Mailing Fax Number | 6307590717 |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2014-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036125831 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP MEDICARE PTAN | 399980 | 01 |
| Street Address |
396 REMINGTON BLVD SUITE 130 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454124 | Prakash Selvaraj | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-1732 | 2005-08-12 |
| 1255987707 | Aaron Kim Dpm S.c | Podiatrist | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2019-08-12 |
| 1578092227 | Tiffany Applewhite | Registered Nurse | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2017-06-07 |
| 1053772178 | Katrina Cudal | Nurse Practitioner | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2016-03-17 |
| 1023416625 | Amanda Hunter | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2014-12-12 |
| 1780014647 | Kelsey Casali | Physician Assistant | 396 Remington Blvd, 240, Bolingbrook, IL 60440-4302 | 2013-11-13 |
| 1811325160 | Adventist Health Partners, Inc | Neurological Surgery | 396 Remington Blvd, Suite 140, Bolingbrook, IL 60440-4302 | 2013-10-24 |
| 1982942306 | Illinois Cancer Specialists | Internal Medicine | 396 Remington Blvd, Ste 141, Bolingbrook, IL 60440-4302 | 2013-01-18 |
| 1811249972 | Vna Health Care | Clinic/Center | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2012-10-12 |
| 1497015390 | Usrc Bolingbrook LLC | Clinic/Center | 396 Remington Blvd, Ste 110, Bolingbrook, IL 60440-4302 | 2012-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104192947 | Brandon Michael Pardi | Orthopaedic Surgery | 396 Remington Blvd Ste 130, Bolingbrook, IL 60440 | 2012-03-27 |
| 1386015642 | Adventist Bolingbrook Hospital | Orthopaedic Surgery | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2015-10-13 |
| 1225291008 | Adventist Health Partners, Inc | Orthopaedic Surgery | 396 Remington Blvd, Ste 130, Bolingbrook, IL 60440-4302 | 2008-07-02 |
| 1700847308 | John Hoon Lee | Orthopaedic Surgery | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4920 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.