Andrew D Kim (NPI# 1891115077, PAC ID# 4880937291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1891115077 |
PAC ID by PECOS | 4880937291 |
Professional Enrollment ID | I20190528000193 |
Full Name | Andrew D Kim |
Organization Legal Name | TOWN SQUARE ANESTHESIA LLC |
Address |
5645 W Addison St Chicago IL 60634-4403 |
Phone Number | 7732827000 |
Gender | M |
Medical School | MEDICAL COLLEGE OF WISCONSIN |
Graduation Year | 2014 |
Primary Specialty | ANESTHESIOLOGY |
Group Practice PAC ID | 9335047455 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140251 | COMMUNITY FIRST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
5645 W Addison St, Chicago, IL 60634-4403 | 7732827000 | TOWN SQUARE ANESTHESIA LLC |
Organization Legal Name | TOWN SQUARE ANESTHESIA LLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wendy Mui | Anesthesiology | Town Square Anesthesia LLC | 3703 Doty Rd, Woodstock, IL 60098-7517 |
Adekunle Adesuyi | Certified Registered Nurse Anesthetist (crna) | Town Square Anesthesia LLC | 5645 W Addison St, Chicago, IL 60634-4403 |
David K Sum | Anesthesiology | Town Square Anesthesia LLC | 5645 W Addison St, Chicago, IL 60634-4403 |
Nisha Chhabra | Anesthesiology | Town Square Anesthesia LLC | 5645 W Addison St, Chicago, IL 60634-4403 |
Fakih S Seals | Certified Registered Nurse Anesthetist (crna) | Town Square Anesthesia LLC | 5645 W Addison St, Chicago, IL 60634-4403 |
Street Address |
5645 W ADDISON ST |
City | CHICAGO |
State | IL |
Zip | 60634-4403 |
Name | Specialty | Organization | Address |
---|---|---|---|
Asim M Saeed | Internal Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Tomislav Dukic | Internal Medicine | 5645 W Addison St, Chicago, IL 60634-4403 | |
Adekunle Adesuyi | Certified Registered Nurse Anesthetist (crna) | Town Square Anesthesia LLC | 5645 W Addison St, Chicago, IL 60634-4403 |
Michael Scott Olsen | Emergency Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Daniel Philip Delboccio | Pathology | Addison Central Pathology Sc | 5645 W Addison St, Chicago, IL 60634-4403 |
Mohammed S Hammad | Emergency Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Stacey L Chamberlain | Emergency Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Janae L Hohbein | Emergency Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Basava P Ancha | Internal Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Abhista Vallabhaneni | Emergency Medicine | Community First Healthcare of Illinois Inc | 5645 W Addison St, Suite 301, Chicago, IL 60634-4403 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Wieslaw C Wlodarski | Physical Therapy | 4005 N Nashville Ave, Chicago, IL 60634-1428 | |
Julieta Joson Luna | General Practice | Julieta Joson-luna Md Sc | 5906 W Montrose Ave, Chicago, IL 60634-1625 |
Justyna K Zawadzki | Physical Therapy | Quest Physical Therapy. Ltd | 5935 W Montrose Ave, Chicago, IL 60634-1629 |
Timothy J Fahy | Optometry | 5943 W Montrose, Chicago, IL 60634-1629 | |
Agnieszka K Okonska | Physical Therapy | Quest Physical Therapy. Ltd | 5935 W Montrose Ave, Chicago, IL 60634-1629 |
Dolly Thomas | Allergy/immunology | Center for Asthma and Allergy, Sc | 4014 N Central Ave, Chicago, IL 60634-1832 |
Alex Thomas | Allergy/immunology | Center for Asthma and Allergy, Sc | 4014 N Central Ave, Chicago, IL 60634-1832 |
Marcin P Cwikla | Physical Therapy | 7421 W Irving Park Rd, Chicago, IL 60634-2139 | |
Mohammed A Hussain | Internal Medicine | 3960 N Harlem Ave, Chicago, IL 60634-2219 | |
Andrey S Melnikov | Podiatry | 3631 N Harlem Ave, Chicago, IL 60634-2237 | |
Find all physicians in zip 60634 |
City | CHICAGO |
Zip Code | 60634 |
Specialty | ANESTHESIOLOGY |
City + Specialty | CHICAGO + ANESTHESIOLOGY |
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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.