Dr Jean Ok Kim, MD | |
1675 Dempster St Fl 3, Park Ridge, IL 60068-1110 | |
(847) 318-9330 | |
(847) 723-9051 |
Full Name | Dr Jean Ok Kim |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 1675 Dempster St Fl 3, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962439992 | NPI | - | NPPES |
347713028 | Other | IL | PTAN MCHENRY |
036-101238 | Medicaid | IL | |
347710033 | Other | IL | PTAN COOK |
347711014 | Other | IL | PTAN DUPAGE |
IL3289017 | Other | IL | PTAN WILL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 036-101238 (Illinois) | Primary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 40518 (Iowa) | Secondary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Dr Jean Ok Kim, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 578-3000 | Dr Jean Ok Kim, MD 1675 Dempster St Fl 3, Park Ridge, IL 60068-1110 Ph: (847) 318-9330 |
Dr. Nour Akhras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Dr. Jurat Singh Rajpal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Second Floor, Park Ridge, IL 60068 Phone: 847-318-9330 | |
Dr. Peyton Cleary, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-5983 | |
Dr. Christopher M Jamerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Yacktman Pavilion, Park Ridge, IL 60068 Phone: 847-723-9557 | |
Susan Michele Unfer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9566 | |
Dr. William Richard Goodell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, 2nd Floor, Park Ridge, IL 60068 Phone: 847-723-9400 Fax: 847-723-8523 | |
Dr. Duane David Stich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Dempster St, Dept. Of Neonatology 2 South, Park Ridge, IL 60068 Phone: 847-723-5313 Fax: 847-723-2338 |