SUNG KIM (NPI# 1992318935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992318935 |
| Entity Type | Individual |
| Full Name | SUNG KIM |
| Practice Address |
953 W Irving Park Rd Chicago IL 60613-2923 |
| Practice Telephone | 7739356414 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051.301720 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652631 | Sung Chol Kim | Physician Assistant | 210th Fa Bde, Unit # 15564, Apo, AP 96224 | 2018-06-13 |
| 1316305352 | Sung Ho Kim | Dentist | 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017-2167 | 2016-02-05 |
| 1235503632 | Sung Kim | Acupuncturist | 1609 W Portsmith Ln, Arlington Heights, IL 60004-7958 | 2015-11-23 |
| 1871896928 | Sung Soo Kim | Pharmacist | 2243 Eagle Glen Pkwy, Corona, CA 92883-0785 | 2010-12-13 |
| 1376858480 | Sung Yee Kim | Pharmacist | 255 S Hill St, 217, Los Angeles, CA 90012-3500 | 2010-08-12 |
| 1750522181 | Sung Joo Kim | Dentist | 7302 Waterloo Walk, Laurel, MD 20707-6914 | 2009-03-15 |
| 1124269741 | Sung Kim | Nurse Practitioner | 4401 Francis Lewis Blvd Ste 3a, Bayside, NY 11361-3002 | 2009-03-11 |
| 1417154659 | Sung Y Kim | Radiology | 24 Davonshire Dr, Pittsburgh, PA 15238-1530 | 2007-06-29 |
| 1023219045 | Sung H Kim | Dentist | 14936 Northern Blvd, #201, Flushing, NY 11354-3884 | 2007-05-29 |
| 1346460714 | Sung Ho Kim | Acupuncturist | 5269 Buford Hwy Ne Ste 15, Doraville, GA 30340-1100 | 2007-04-26 |
| Street Address |
953 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003187030 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 953 W Irving Park Rd, Chicago, IL 60613-2923 | 2012-01-23 |
| 1992347850 | Huyen Tran | Pharmacist | 953 W Irving Park Rd, Chicago, IL 60613-2923 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1922661230 | Devon Burhoe | Pharmacist | 833 S Wood St Ste 164, Chicago, IL 60612-7229 | 2019-04-22 |
| 1649743626 | Phoebe Sebhatu Lebeau | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-02 |
| 1730566233 | Glen Pietrandoni | Pharmacist | 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 | 2015-05-04 |
| 1952732570 | Joy Ezidinma | Pharmacist | 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 | 2013-12-07 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1255601753 | Viktorija O Trakis | Pharmacist | 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 | 2011-12-31 |
| 1558664896 | Jaini Patel | Pharmacist | 2535 South Martin Luther King Drive, Chicago, IL 60616 | 2010-12-08 |
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1851604102 | Angela M. Plewa | Pharmacist | 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 | 2010-07-15 |
| Find all providers in CHICAGO | ||||
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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.