DR. DONG OUK KIM (NPI# 1104938984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104938984 |
| Entity Type | Individual |
| Full Name | DR. DONG OUK KIM |
| Credential | M.D. |
| Practice Address |
400 N Wall St Suite 410 Kankakee IL 60901-2940 |
| Practice Telephone | 8159332221 |
| Practice Fax Number | 8159337363 |
| Mailing Telephone | 8159332221 |
| Mailing Fax Number | 8159337363 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
| 1447577333 | Dong Hyun Kim | Anesthesiology | 2593 Woodland Dr, Ogden, UT 84403-5111 | 2010-05-01 |
| 1003006826 | Dong S Kim | Acupuncturist | 23300 Cinema Dr Ste 240, Valencia, CA 91355-1776 | 2007-07-27 |
| 1588875116 | Dong Jin Kim | Dentist | 69420 Ramon Rd, Cathedral City, CA 92234-3349 | 2007-05-25 |
| 1821203282 | Dong M Kim | Dentist | 1055 S Alvarado St, Los Angeles, CA 90006-3711 | 2007-05-11 |
| 1679694293 | Dong Won Kim | Dentist | 133 Market St, Lowell, MA 01852-1808 | 2007-04-02 |
| 1962538728 | Dong Kim | Chiropractor | 1111 N. Brand Blvd., 402, Glendale, CA 91202-3071 | 2007-02-26 |
| 1659414159 | Dong O Kim | Acupuncturist | 201 S. Alvarado St., Suite #609, Los Angeles, CA 90057-2320 | 2007-02-14 |
| 1225198021 | Dong Ho Kim | Dentist | 15072 Rosecrans Ave, La Mirada, CA 90638-4740 | 2006-12-11 |
| 1003870437 | Dong K Kim | Dentist | 1757 W Carson St, Suite E, Torrance, CA 90501-2837 | 2006-04-13 |
| Street Address |
400 N WALL ST SUITE 410 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194781112 | Safwat G. Iskander | Pediatrics | 400 N Wall St, Suite 312, Kankakee, IL 60901-2940 | 2006-04-26 |
| 1982076329 | Cross Country Home Health LLC | Home Health | 400 N Wall St, Ste 308, Kankakee, IL 60901-2940 | 2015-10-26 |
| 1770905093 | Yalamanchili Obgyn Sc | Obstetrics & Gynecology | 400 N Wall St, Suite 403, Kankakee, IL 60901-2940 | 2014-01-07 |
| 1851683528 | Cheryl Ann Olofsson | Registered Nurse | 400 N Wall St, Suite 510, Kankakee, IL 60901-2940 | 2011-05-12 |
| 1982928917 | Adam M Weaver | Physician Assistant | 400 N Wall St, Suite 402, Kankakee, IL 60901-2940 | 2010-03-19 |
| 1962677450 | S David Lang Md Limited | Surgery | 400 N Wall St, Ste 410, Kankakee, IL 60901-2963 | 2008-04-25 |
| 1831229574 | Neurology Ltd | Psychiatry & Neurology | 400 N Wall St, #507, Kankakee, IL 60901-2965 | 2007-03-06 |
| 1740323096 | Oakside Corporation | Pharmacy | 400 N Wall St, Suite One, Kankakee, IL 60901-2940 | 2007-02-15 |
| 1891838314 | Thomas Paul Marcotte | Pharmacist | 400 N Wall St, Suite One, Kankakee, IL 60901-2940 | 2007-02-15 |
| 1356488621 | Regan Lane Kendregan | Family Medicine | 400 N Wall St, Ste 510, Kankakee, IL 60901-2940 | 2007-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528334208 | Kay Chow Timbers | Surgery | 400 N Wall St Ste B410, Kankakee, IL 60901-2940 | 2012-03-28 |
| 1538263256 | Soren David Lang | Surgery | 400 N. Wall St, Suite 410, Kankakee, IL 60901-2963 | 2006-09-12 |
| 1740246040 | Paul E Rowland | Surgery | 375 N Wall St Ste P420, Kankakee, IL 60901-3406 | 2006-04-25 |
| 1700204583 | Quantel Valdezzel Rolle | Surgery | 375 N Wall St Ste P420, Kankakee, IL 60901-3406 | 2014-03-31 |
| 1962677450 | S David Lang Md Limited | Surgery | 400 N Wall St, Ste 410, Kankakee, IL 60901-2963 | 2008-04-25 |
| 1265539472 | Keith M. Monson, M.d., Sc | Surgery | 400 N Wall St, Suite 304, Kankakee, IL 60901-2940 | 2006-09-20 |
| 1629092937 | Jeffrey Lincoln Brown | Surgery | 375 N Wall St Ste P420, Kankakee, IL 60901-3406 | 2006-07-27 |
| 1770529612 | General Surgeons of Kankakee Ltd | Surgery | 375 N Wall St, Suite P640, Kankakee, IL 60901-3483 | 2006-06-21 |
| 1437115722 | Robert Brockman | Surgery | 375 N Wall St, Suite P640, Kankakee, IL 60901-3483 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.