Thomas Kim (NPI# 1407083488, PAC ID# 3971759838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407083488 |
| PAC ID by PECOS | 3971759838 |
| Professional Enrollment ID | I20170916000038 |
| Full Name | Thomas Kim |
| Organization Legal Name | PCC COMMUNITY WELLNESS CENTER |
| Address |
5359 W Fullerton Ave Chicago IL 60639-1450 |
| Phone Number | 7738362785 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557270139 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140049 | WEST SUBURBAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5359 W Fullerton Ave, Chicago, IL 60639-1450 | 7738362785 | PCC COMMUNITY WELLNESS CENTER |
| Organization Legal Name | PCC COMMUNITY WELLNESS CENTER |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Splittgerber | Physical Medicine and Rehabilitation | Pcc Community Wellness Center | 14 Lake St, Oak Park, IL 60302-2606 |
| Eve K Barker | Family Medicine | Pcc Community Wellness Center | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 |
| Kristen Marie Moser | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Kimberly Zoellick | Nurse Practitioner | Pcc Community Wellness Center | 3 Erie Court, Oak Park, IL 60302-2519 |
| Jenny Kim | Family Medicine | Pcc Community Wellness Center | 5425 W Lake St, Chicago, IL 60644-2342 |
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Alvie Bender | Clinical Social Worker | Pcc Community Wellness Center | 14 Lake St, Oak Park, IL 60302-2606 |
| Kristen Richter | Nurse Practitioner | Pcc Community Wellness Center | 1044 N Mozart St, Suite 100, Chicago, IL 60622-2789 |
| Gwendolyn Haywood | Clinical Social Worker | Pcc Community Wellness Center | 14 Lake St, Oak Park, IL 60302-2606 |
| Jenna Pederson | Nurse Practitioner | Pcc Community Wellness Center | 3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519 |
| Street Address |
5359 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60639-1450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Marie Moser | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Michele Alba | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Gitanjali Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Fernando Velasquez | Nurse Practitioner | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Anastasia Crihfield | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Lizbeth Rodriguez | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Julia E Eckersley | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Katherine Lynch | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Alexander M Wu | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Umang Sharma | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Glynn | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2620 N Narragansett Ave, Suite B7, Chicago, IL 60639-1082 |
| Kyle A Downing | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2620 N Narragansett Ave, Suite B7, Chicago, IL 60639-1082 |
| Walter R Plasencia | Internal Medicine | 5939 W Diversey Ave, Chicago, IL 60639-1155 | |
| Finicia C Graham | Family Practice | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| John A Wiley | Geriatric Medicine | 5300 W Diversey Ave, Chicago, IL 60639-1513 | |
| John-paul G Netzel | Physical Therapy | Athletico Ltd | 4639 W Diversey Ave, Chicago, IL 60639-1828 |
| Ellen E Cox | Physical Therapy | Athletico Ltd | 4639 W Diversey Ave, Chicago, IL 60639-1828 |
| Francisca M Stern | Physical Therapy | Athletico Ltd | 4639 W Diversey Ave, Chicago, IL 60639-1828 |
| Leah Ellen Nichols | Physical Therapy | Athletico Ltd | 4639 W Diversey Ave, Chicago, IL 60639-1828 |
| Anil P Joseph | Physical Therapy | Athletico Ltd | 4639 W Diversey Ave, Chicago, IL 60639-1828 |
| Find all physicians in zip 60639 | |||
| City | CHICAGO |
| Zip Code | 60639 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHICAGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Kim.
| 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.