DAEWON KIM (NPI# 1639527138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639527138 |
| Entity Type | Individual |
| Full Name | DAEWON KIM |
| Credential | M.D. |
| Practice Address |
333 N Madison St Emergency Department Joliet IL 60435-8200 |
| Practice Telephone | 8157417660 |
| Mailing Telephone | 8157417660 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036.149055 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
333 N MADISON ST EMERGENCY DEPARTMENT |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639107428 | Michael G Arthofer | Radiology | 333 N Madison St, Joliet Radiological Service Corp Provena St Joseph Med, Joliet, IL 60435 | 2006-06-29 |
| 1184701922 | David J Gilmore | Physician Assistant | 333 N Madison St, Joliet, IL 60436 | 2006-11-01 |
| 1295846343 | Joliet Radiological Service Corp | Radiology | 333 N Madison St, Joliet, IL 60435 | 2006-08-31 |
| 1235147257 | Michael S Leininger | Physician Assistant | 333 N Madison St, Joliet, IL 60435 | 2006-08-04 |
| 1952325615 | Joliet Hospitalists Group, LLC | Internal Medicine | 333 N Madison St, Joliet, IL 60435 | 2006-07-27 |
| 1588688253 | Folashade Kareem | Internal Medicine | 333 N Madison St, Joliet, IL 60435 | 2006-07-27 |
| 1760406045 | James D Wright | Internal Medicine | 333 N Madison St, Joliet, IL 60435 | 2006-07-27 |
| 1467487348 | Eddie Sullivan | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-11 |
| 1396779773 | Sandra Larson | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
| 1790719334 | Carolyn H Schimmel | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841429479 | Daniel John Bartgen | Emergency Medicine | 333 N. Madison Street, Joliet, IL 60435-8200 | 2009-07-02 |
| 1013944263 | Susan Demick | Emergency Medicine | Silver Cross Hospital, 1200 Maple Road, Joliet, IL 60432 | 2006-06-26 |
| 1144269093 | Wael Mctabi | Emergency Medicine | 1719 Glenwood Ave, Joliet, IL 60435-5835 | 2006-06-06 |
| 1689675811 | Timothy Fendon | Emergency Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2005-08-10 |
| 1497753917 | Prairie Emergency Services, Sc | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2005-07-08 |
| 1134644164 | Cepamerica Illinois LLP | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2017-08-10 |
| 1962852327 | Melvin Thomas | Emergency Medicine | 333 Madison St, Joliet, IL 60435 | 2016-06-16 |
| 1417343575 | Jessica Bode | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2015-04-15 |
| 1447699368 | John Paik | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2013-06-25 |
| 1528403805 | Semere Tedla | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2013-05-01 |
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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.