DR. MARY GRACE KIM


Address: 8321 W Golf Rd, Niles, IL 60714-1113
Phone: 8477203504

DR. MARY GRACE KIM (NPI# 1053729467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053729467
Entity Type Individual
Full Name DR. MARY GRACE KIM
Credential D.D.S.
Practice Address 8321 W Golf Rd
Niles
IL 60714-1113
Mailing Address 2424 W. Peterson
Chicago
IL 60659
Practice Telephone 8477203504
Practice Fax Number 8476925271
Mailing Telephone 7737610300
Mailing Fax Number 7737610009
Enumeration Date 2014-07-29
Last Update Date 2018-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019029922 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 019029922 05

Other Providers MARY KIM

NPI Name Taxonomy Address Enumeration
1568581536 Mary M. Kim Optometrist 978 Main St., S. Weymouth, MA 02190 2007-03-28
1902880123 Mary M. Kim Internal Medicine 1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 2005-12-01
1497301261 Mary Suhyun Kim Student in an Organized Health Care Education/Training Program 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2019-08-16
1861975344 Mary Kim Registered Nurse 6223 N Canton Center Rd Ste 201, Canton, MI 48187-2696 2018-09-11
1184165516 Mary Kim Dentist 251 E Huron St, Chicago, IL 60611-2908 2017-03-18
1730523309 Mary E Kim Dermatology 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2013-04-25
1275720930 Mary Kim Physician Assistant 4502 Medical Dr, San Antonio, TX 78229-4402 2007-09-26
1790804060 Mary Wai Ming Kim Dentist 1441 Kapiolani Blvd, Suite 1515, Honolulu, HI 96814 2007-03-28
1508998782 Mary Ann Kim Dentist 233 S Wacker Dr, Lower Level 1, Chicago, IL 60606-6306 2007-03-12
1780724435 Mary I Kim Physical Medicine & Rehabilitation 11406 Loma Linda Dr, Suite 516, Loma Linda, CA 92354-3711 2007-02-08

Office Location

Street Address 8321 W GOLF RD
City NILES
State IL
Zip Code 60714-1113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891162962 Asian Human Services Family Health Center, Inc Clinic/Center 8321 W Golf Rd, Niles, IL 60714-1113 2015-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992277347 Superior Nursing Services LLC Registered Nurse 8852 N. Milwaukee Ave, Niles, IL 60714 2018-12-26
1669904124 Ralph N. Robbins D.d.s., Ltd. Dentist 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 2017-04-03
1962947010 The Thresholds Community/Behavioral Health 8842 Prospect Ave, Niles, IL 60714 2016-12-28
1548632367 Kristine Pallarca Pharmacist 9000 W. Golf Rd, Niles, IL 60714 2015-10-21
1326421082 Zuber Koya Optometrist 5762 W Touhy Ave, Niles, IL 60714 2015-06-30
1881074193 Northwest Podiatry Center Durable Medical Equipment & Medical Supplies 7954 Oakton Avenue, Niles, IL 60714 2015-06-02
1184039430 Care Plus Outpatient Therapy Inc. Occupational Therapy Assistant 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 2014-06-25
1750704888 Daniel Charles Smith Social Worker 241golf Mill Center Suite 708, Niles, IL 60714 2014-01-24
1285062356 Benjamin Trukman Physical Therapist 8269 West Golf Rd, Niles, IL 60714 2013-10-28
1750643698 Matthew James Howard Pediatrics 6450 W Touhy Ave, Niles, IL 60714 2012-06-15
Find all providers in zip 60714

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043871254 Madison Rae Mick Dentist 24 N Saint Joseph Ave Ste G, Niles, MI 49120-2263 2019-06-27
1770946378 Malgorzata Pienkowska Dentist 8107 N. Milwaukee, Niles, IL 60714-2803 2016-03-31
1093089690 Nwdg Niles LLC Dentist 7886 N Milwaukee Ave, Niles, IL 60714-3145 2012-02-28
1649589151 Kala Sagar Madugula Dmd Inc Dentist 5700 Youngstown Warren Rd, Unit 107, Niles, OH 44446-4762 2010-09-30
1366690067 Mia Myoungah Seo Dentist 876 Civic Center Dr, Niles, IL 60714-3207 2008-09-05
1275796591 Ronald Patrick Giometti Dentist 6954 W Touhy Ave, Suite 201, Niles, IL 60714-4547 2008-07-07
1972777399 Hyeokjin Son Dentist 1111 Lambert St, Niles, MI 49120-3439 2008-04-16
1659560464 Dr John D Mcmahon Ltd Dentist 8100 Oakton St, Niles, IL 60714 2007-10-17
1033315023 Tejas N Joshi Dentist 7763 N Nordica Ave, Niles, IL 60714-3311 2007-06-26
1578769204 Roger J Pogorzelski Dentist 6759 N Milwaukee Ave, Niles, IL 60714-4418 2007-06-21
Find all providers in NILES

Competitor

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City NILES
Zip Code 60714

Improve Information

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Dataset Information

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.

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