JONGWOOK HAM (NPI# 1700838992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700838992 |
| Entity Type | Individual |
| Full Name | JONGWOOK HAM |
| Credential | MD |
| Practice Address |
2050 Larkin Ave Suite 102 Elgin IL 60123 |
| Practice Telephone | 8477427458 |
| Practice Fax Number | 8477420191 |
| Mailing Telephone | 8477427458 |
| Mailing Fax Number | 8477420191 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 04500559 | 01 |
| Street Address |
2050 LARKIN AVE SUITE 102 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758047 | Roop Rekha Shivpuri | Specialist | 2050 Larkin Ave, Elgin, IL 60123-5888 | 2005-08-30 |
| 1336639632 | Kerry Voss | Social Worker | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2018-05-14 |
| 1841620762 | All Kids Dental Center, LLC | Dentist | 2050 Larkin Ave, Ste. #100, Elgin, IL 60123-4405 | 2013-11-13 |
| 1588002729 | Nicole M Hensen | Counselor | 2050 Larkin Ave, Suite #202, Elgin, IL 60123-4405 | 2013-06-10 |
| 1023351376 | William Bautista | Social Worker | 2050 Larkin Ave, Suite #202, Elgin, IL 60123-4405 | 2013-04-04 |
| 1285971424 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2013-01-08 |
| 1265717276 | Pediatric and Family Dental PC | Dentist | 2050 Larkin Ave, Suite 100, Elgin, IL 60123-4405 | 2011-10-21 |
| 1235433012 | Scott D. Goldman, Dds, PC | Dentist | 2050 Larkin Ave, Suite 100, Elgin, IL 60123-4405 | 2011-01-07 |
| 1508096108 | Patricia J Zacharias | Counselor | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2009-07-17 |
| 1700064425 | Effie Crambes | Social Worker | 2050 Larkin Ave, Suite 202, Elgin, IL 60123-4405 | 2008-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720168024 | Proponent Medical Group,ltd | Otolaryngology | 2350 Royal Blvd, Suite 500, Elgin, IL 60123-4719 | 2006-10-17 |
| 1205940160 | Lawrence Frederick Berg | Otolaryngology | 2350 Royal Blvd, Suite 500, Elgin, IL 60123-4719 | 2006-08-18 |
| 1174556773 | Aijaz Alvi | Otolaryngology | 1710 N Randall Rd, Suite 210, Elgin, IL 60123-9400 | 2006-07-08 |
| 1174574073 | Nikhil J Bhatt | Otolaryngology | 2050 Larkin Ave, Suite 102, Elgin, IL 60123 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
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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.