AGNES KIM (NPI# 1629682232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629682232 |
| Entity Type | Individual |
| Full Name | AGNES KIM |
| Credential | RD |
| Practice Address |
225 E Chicago Ave Chicago IL 60611-2991 |
| Mailing Address |
225 E Chicago Ave Box 23 Chicago IL 60611 |
| Practice Telephone | 3122274149 |
| Mailing Telephone | 3122274149 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1401X | 164005768 | IL |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823438 | Agnes Kim | Physical Therapist | 1025 E West Connector Ste 406, Austell, GA 30106-8531 | 2020-08-26 |
| 1871992719 | Agnes Kim | Optometrist | 4101 S Cooper St, Arlington, TX 76015-4159 | 2014-08-15 |
| 1396804035 | Agnes S Kim | Psychiatry & Neurology | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2006-12-08 |
| 1255490348 | Agnes Kim | Internal Medicine | 263 Farmington Ave, Cardiology, Farmington, CT 06030-2202 | 2006-12-06 |
| 1437139797 | Agnes Kim | Pathology | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2006-01-20 |
| Street Address |
225 E CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779734 | Martha Cotsen Saker | Radiology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-06 |
| 1356942239 | Sara Mancuso | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-11-05 |
| 1912514423 | Emily May Wilson | Audiologist | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-29 |
| 1780291617 | Loretta Lavigne | Social Worker | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-24 |
| 1275149312 | Abigail Hadley | Registered Nurse | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-22 |
| 1326653866 | Lauren Spradling | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-11 |
| 1861006405 | Samantha A Grooss | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1255945838 | Patrice H. Swiontek | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1205440088 | Lisa Sharda | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-31 |
| 1184238974 | Sally Schwartz | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
Please comment or provide details below to improve the information on AGNES KIM.
| 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.