PU WOONG KIM,MD,.SC (NPI# 1811137243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811137243 |
| Entity Type | Organization |
| Organization Name | PU WOONG KIM,MD,.SC |
| Practice Address |
5140 N California Ave Suite 715 Chicago IL 60625-3645 |
| Practice Telephone | 7735611554 |
| Practice Fax Number | 7735611586 |
| Mailing Telephone | 7735611554 |
| Mailing Fax Number | 7735611586 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |
| Authorized Official Name | DR. PU WOONG KIM (DIRECT OF PU WOOG KIM,MD,.SC) |
| Authorized Official Telephone | 7735611554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036-047684 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036047684 | 05 |
| Street Address |
5140 N CALIFORNIA AVE SUITE 715 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046681 | Olga Zuk | Internal Medicine | 5140 N California Ave, Suite 115, Chicago, IL 60625-3645 | 2005-07-11 |
| 1346847654 | Mariam El-zein | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-10-08 |
| 1437767522 | Yelena Sahakian | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-07-15 |
| 1073137964 | Conor Wood Farley | Emergency Medicine | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-05 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1881218055 | Joseph Yeo | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-03 |
| 1669095881 | Agnieszka Stefania Bar | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-05-21 |
| 1144842279 | Spencer Grant Suppes | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-05-12 |
| 1407483035 | Karthik Seetharaman | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-03-24 |
| 1083263636 | Abigail Saskowski | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| 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.