JIEUN DAVID (NPI# 1962841536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962841536 |
| Entity Type | Individual |
| Full Name | JIEUN DAVID |
| Other Name | JIEUN KWAK |
| Credential | M.D. |
| Practice Address |
1653 W Congress Pkwy, 8 Tower Chicago IL 60612 |
| Practice Telephone | 8477071674 |
| Mailing Telephone | 8477071674 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 125062638 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
036-150479 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1653 W CONGRESS PKWY, 8 TOWER |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 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 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1780979302 | Kelly Nelson Kelly | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2011-06-11 |
| 1023294519 | Center for Autonomic Medicine In Pediatrics | Pediatrics | 2300 N Childrens Plz # 64, Chicago, IL 60614-3363 | 2008-01-14 |
| 1780807925 | Daniel T Robinson | Pediatrics | Children's Memorial Hospital, Division of Neonatology, 2300 Children's Plaza, Box 45, Chicago, IL 60614 | 2007-04-10 |
| 1134207111 | Northside Neonatal and Infant Care Sc | Pediatrics | 836 W Wellington, Chicago, IL 60657 | 2006-11-01 |
| 1124106109 | Ramakrishna Velamati | Pediatrics | 2900 N Lakeshore Drive, Chicago, IL 60657 | 2006-11-01 |
| 1245284504 | Maria Luz V Dizon | Pediatrics | Box #45, 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-05-20 |
| 1588617435 | Kathryn N Farrow | Pediatrics | Box 45, Childrens Memorial Hospital 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-05-19 |
| 1487607891 | Beverley Robin | Pediatrics | 1464 S Michigan Ave, Suite 1304, Chicago, IL 60605-3711 | 2006-05-18 |
| 1407809908 | Isabelle G De Plaen | Pediatrics | 225 E Chicago Ave # 45, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2006-05-18 |
| 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.