DR. MIN KWAN KIM (NPI# 1407818990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407818990 |
| Entity Type | Individual |
| Full Name | DR. MIN KWAN KIM |
| Credential | M.D. |
| Practice Address |
3001 6th St Specialty Medicine-cardiology Great Lakes IL 60088-3210 |
| Mailing Address |
1572 Maple Ave Apt 401 Evanston IL 60201-4328 |
| Practice Telephone | 8476883444 |
| Mailing Telephone | 6195341242 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01055659A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449873 | Min Soo Kim | Dentist | 2701 N Dirksen Pkwy, Springfield, IL 62702-1407 | 2015-06-12 |
| 1437490505 | Min Kim | Student in an Organized Health Care Education/Training Program | 1813 Spruce St, Apt 2f, Philadelphia, PA 19103-5806 | 2013-03-14 |
| 1376894436 | Min Kim | Pharmacist | 5005n Piedras St, 4008, El Paso, TX 79912 | 2012-09-28 |
| 1497028674 | Min Jung Kim | Chiropractor | 907 Aylesbury Dr, Allen, TX 75002-5745 | 2012-02-17 |
| 1629380936 | Min S Kim | Dentist | 7250 S Durango Dr Ste 110, Las Vegas, NV 89113-2221 | 2010-07-02 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1750566857 | Min Jeong Kim | Optometrist | 733 Manhattan Ave, Brooklyn, NY 11222-2944 | 2008-01-08 |
| 1912107194 | Min C. Kim | Dentist | 4270 Gorgas Circle, Fort Sam Houston, TX 78234-2639 | 2007-07-25 |
| 1861609240 | Min Kyung Kim | Acupuncturist | 1418 S Euclid St, Fullerton, CA 92832-3135 | 2007-05-17 |
| 1295833192 | Min Cheol Kim | Ophthalmology | 14155 North 83rd Avenue, Suite 1103, Peoria, AZ 85381 | 2006-09-21 |
| Street Address |
3001 6TH ST SPECIALTY MEDICINE-CARDIOLOGY |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610446 | Myron William Yencha | Otolaryngology | 3001 6th St, Dept Otolaryngology, Naval Hospital, Great Lakes, IL 60088-2833 | 2005-09-22 |
| 1689991507 | Heather Nimmagadda | Nurse Practitioner | 3001 6th St, Great Lakes, IL 60088-2833 | 2010-05-02 |
| 1811178486 | Stephen Schultz | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-11-23 |
| 1245434513 | John Dangca Vasquez | Military Health Care Provider | 3001 6th St, Great Lakes, IL 60088 | 2007-06-12 |
| 1396871166 | Michael Philip Fee | Dentist | 3001 6th St, Ste A Naval Health Clinics, Great Lakes, IL 60088-2833 | 2007-02-26 |
| 1184773012 | Orlando Lopez | Physician Assistant | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-01-09 |
| 1013004928 | Karen Leone | General Practice | 3001 6th St, Suite A, Great Lakes, IL 60088-2833 | 2006-10-10 |
| 1144278557 | Marla Crill Heller | Dietitian, Registered | 3001 6th St, A, Great Lakes, IL 60088-2833 | 2006-05-05 |
| 1609832187 | James Allen Westra | Pathology | 3001 6th St, Buiding 200h Laboratory, Great Lakes, IL 60088-2833 | 2006-04-25 |
| 1871559633 | Donald Joseph Bezdek | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256832 | Sreedevi Pallath Harshakumar | Internal Medicine | 1951 Langley St Apt C, Great Lakes, IL 60088-1021 | 2019-06-30 |
| 1891779146 | Jennifer Brattland Ota | Internal Medicine | 3001a Sixth St, Internal Medicine Clinic, Great Lakes, IL 60088-5230 | 2005-11-30 |
| 1114901675 | Gary George Sladek | Internal Medicine | 3001a 6th St, Naval Hospital Great Lakes, Great Lakes, IL 60088-5230 | 2005-11-30 |
| 1053394189 | Norman Lee | Internal Medicine | 3001 6th St, 9th Floor Primary Care Directorate Suite, Great Lakes, IL 60088-2833 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
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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.