John H Kim (NPI# 1992174403, PAC ID# 7315256567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992174403 |
| PAC ID by PECOS | 7315256567 |
| Professional Enrollment ID | I20151029000511 |
| Full Name | John H Kim |
| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Address |
3101 Fields S Dr Champaign IL 61822-3743 |
| Phone Number | 2173664000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719899319 |
| Number of Group Practice Members | 169 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140091 | THE CARLE FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3101 Fields S Dr, Champaign, IL 61822-3743 | 2173664000 | CHRISTIE CLINIC, LLC |
| Organization Legal Name | CHRISTIE CLINIC, LLC |
| Physicians | 179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Jennifer Lynn Laubscher | Nurse Practitioner | Christie Clinic, LLC | 1710 E Windsor Rd, Urbana, IL 61802-9564 |
| Steven J Damore | Radiation Oncology | Christie Clinic, LLC | 109 W University Ave, Champaign, IL 61820-3909 |
| Jessica M Sorensen | Physician Assistant | Christie Clinic, LLC | 101 W University Ave, Champaign, IL 61820-3909 |
| Jeanelle Y Murphy | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Nancy S Davidson | Physical Therapy | Christie Clinic, LLC | 1207 S Mattis Ave, Champaign, IL 61821-4861 |
| Onachukwu G Osaji | Family Medicine | Christie Clinic, LLC | 1001 Commercial Dr, Mahomet, IL 61853-8625 |
| Nathan R Walker | Internal Medicine | Christie Clinic, LLC | 501 Dunlap Ave, Savoy, IL 61874 |
| Jeanette Marie Feucht | Nurse Practitioner | Christie Clinic, LLC | 2502 E Empire St C, Bloomington, IL 61704-3739 |
| Kristi L Gresch | Physical Therapy | Christie Clinic, LLC | 2110 Fox Dr, Champaign, IL 61820-7553 |
| Street Address |
3101 FIELDS S DR |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61822-3743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Davendra P Ramkumar | Gastroenterology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Sarah A Spizzirri | Podiatry | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Douglas S. Bull | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Chris W. Schmidt | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Robert P Cusick | Orthopedic Surgery | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Andrew J Kluesner | Podiatry | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Christine Benway | Physical Therapy | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Emily Foertsch | Nurse Practitioner | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Kathleen G Ruhter | Physical Therapy | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
| Kerra Meyers | Nurse Practitioner | Osf Multi-specialty Group | 2710 N Prospect Ave, Champaign, IL 61822-1298 |
| Kathleen E El Koury | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Todd F Harrison | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Angela L Jackson | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Kelly Mae Guzlas | Nurse Practitioner | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Dara Naomi Catron | Occupational Therapy | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Eric Paul Helfer | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Stacey Trulock | Physical Therapy | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| John S. Regan | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Find all physicians in zip 61822 | |||
| City | CHAMPAIGN |
| Zip Code | 61822 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHAMPAIGN + 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.