YUNG CHUL SIM (NPI# 1013203686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013203686 |
Entity Type | Individual |
Full Name | YUNG CHUL SIM |
Credential | MD |
Practice Address |
3348 W 87th St Chicago IL 60652-3767 |
Mailing Address |
213 N Racine Ave Suite 100 Chicago IL 60607-1644 |
Practice Telephone | 7737664471 |
Practice Fax Number | 7735643510 |
Mailing Telephone | 3127339730 |
Mailing Fax Number | 7738668014 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2015-10-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036137437 | IL | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 11016027A | IN | Allopathic & Osteopathic Physicians |
Street Address |
3348 W 87TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60652-3767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407849078 | David J Flores | Family Medicine | 3348 W 87th St, Chicago, IL 60652-3767 | 2005-08-29 |
1821584756 | Neha Sakhuja | Social Worker | 3348 W 87th St, Chicago, IL 60652 | 2018-07-03 |
1467979260 | Jennifer Mainor | Nurse Practitioner | 3348 W 87th St, Chicago, IL 60652-3767 | 2017-08-23 |
1053834259 | British N Hughes | Nurse Practitioner | 3348 W 87th St, Chicago, IL 60652-3767 | 2017-07-19 |
1952838179 | Unnati Patel | Family Medicine | 3348 W 87th St, Chicago, IL 60652-3767 | 2017-05-18 |
1942690243 | Michelle Woo | Nurse Practitioner | 3348 W 87th St, Chicago, IL 60652-3767 | 2015-01-26 |
1538571591 | D2 Dental At Oak Street, P.C. | Dentist | 3348 W 87th St, Chicago, IL 60652-3767 | 2014-05-27 |
1740600311 | Ndidi Okanu | Nurse Practitioner | 3348 W 87th St, Chicago, IL 60652-3767 | 2014-04-22 |
1619396371 | Luis Rivera | Family Medicine | 3348 W 87th St, Chicago, IL 60652-3767 | 2014-04-09 |
1174860498 | Okechi Adighibe | Nurse Practitioner | 3348 W 87th St, Chicago, IL 60652-3767 | 2013-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
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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.