VICTOR DAVID KIM (NPI# 1750736880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750736880 |
| Entity Type | Individual |
| Full Name | VICTOR DAVID KIM |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave # Mc5000 Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 5136865446 |
| Practice Fax Number | 5136866868 |
| Mailing Telephone | 7737021061 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | 036149227 | IL | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396112975 | Victor Kim | Registered Nurse | 1877 E 12th St, Apt 5f, Brooklyn, NY 11229-2765 | 2015-08-30 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1629092465 | Victor Yonghoon Kim | Emergency Medicine | 6955 Oakland Mills Rd, Suite N, Columbia, MD 21045-5849 | 2006-07-26 |
| 1356305833 | Victor B Kim | Surgery | 960 Newman Rd, New Bern, NC 28562-5200 | 2006-04-13 |
| 1073002887 | Victor Kim | Student in an Organized Health Care Education/Training Program | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2018-05-07 |
| 1003255951 | Victor Kim | Surgery | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2013-06-24 |
| 1467440412 | Victor Kim | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-10-12 |
| Street Address |
5841 S MARYLAND AVE # MC5000 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710202999 | Ali Muhammed Khan | Internal Medicine | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2010-03-31 |
| 1518318070 | Rebecca Wilson | Hospitalist | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-06-27 |
| 1043660350 | Tina T Zhu | Internal Medicine | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-06-16 |
| 1215384318 | Elvisa Orhani | Internal Medicine | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-05-18 |
| 1851747406 | Justin Porter | Hospitalist | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-05-12 |
| 1023464716 | Sandeep Tummala | Hospitalist | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-05-11 |
| 1841645207 | Azka Afzal | Internal Medicine | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-05-03 |
| 1447605126 | Magdy Ahmed Raof El-din | Hospitalist | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-04-29 |
| 1336502533 | Natasha Singh | Hospitalist | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-04-04 |
| 1417310616 | Ghassan Mohammad Mubarak | Hospitalist | 5841 S Maryland Ave # Mc5000, Chicago, IL 60637-1443 | 2016-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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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.