Ryan Kim (NPI# 1821563370, PAC ID# 1052657392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821563370 |
| PAC ID by PECOS | 1052657392 |
| Professional Enrollment ID | I20190108002083 |
| Full Name | Ryan Kim |
| Organization Legal Name | MARIA LENTZOU MD SC |
| Address |
12050 S Harlem Ave A Palos Heights IL 60463-2803 |
| Phone Number | 7086711500 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658324090 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140062 | PALOS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12050 S Harlem Ave A, Palos Heights, IL 60463-2803 | 7086711500 | MARIA LENTZOU MD SC |
| Organization Legal Name | MARIA LENTZOU MD SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Lentzou | Internal Medicine | Maria Lentzou Md Sc | 12050 S Harlem Ave Unit A, Palos Heights, IL 60463-1141 |
| Carrie Lynn Salvia | Family Medicine | Maria Lentzou Md Sc | 12050 S Harlem Ave Unit A, Palos Heights, IL 60463-1141 |
| Rafael J Vargas Zapata | Family Medicine | Maria Lentzou Md Sc | 12050 S Harlem Ave Unit A, Palos Heights, IL 60463-1141 |
| Marybell Ramirez | Nurse Practitioner | Maria Lentzou Md Sc | 12050 S Harlem Ave Unit A, Palos Heights, IL 60463-1141 |
| Street Address |
12050 S HARLEM AVE A |
| City | PALOS HEIGHTS |
| State | IL |
| Zip | 60463-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Beaumont | Psychologist, Clinical | 11801 Swhighway 3, Palos Heights, IL 60463 | |
| Todd S Kirk | Ophthalmology | 13303 S Ridgeland Ave Unit B, Palos Heights, IL 60463-0020 | |
| Christopher George Rouches | Chiropractic | Nick C Mallios Dc Ltd | 13301 S Ridgeland Ave, Palos Heights, IL 60463-0029 |
| Nick C Mallios | Chiropractic | Nick C Mallios Dc Ltd | 13301 S Ridgeland Ave, Palos Heights, IL 60463-0029 |
| Gus J Spatharakis | Chiropractic | Applied Wellness Center Sc | 13301 S Ridgeland Ave A, Palos Heights, IL 60463-0030 |
| Ibrahim S Alghafeer | Rheumatology | 13303 S Ridgeland Ave, Unit C, Palos Heights, IL 60463-0200 | |
| Matthew E Schmidt | Ophthalmology | Dr Matthew E Schmidt and Associates Ophthalmologists Sc | 7600 W College Dr, Palos Heights, IL 60463-1001 |
| Russell Hugh Glantz | Neurology | Parkview Orthopaedic Group S C | 7600 W College Dr, Palos Heights, IL 60463-1001 |
| John E Helsel | Optometry | 7600 W College Dr, Palos Heights, IL 60463-1001 | |
| Scott P Price | Orthopedic Surgery | Parkview Orthopaedic Group S C | 7600 W College Dr, Palos Heights, IL 60463-1001 |
| Find all physicians in zip 60463 | |||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PALOS HEIGHTS + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.