Edward Kim, | |
4140 Southwest Hwy, Hometown, IL 60456-1135 | |
(708) 422-5700 | |
(708) 422-8225 |
Full Name | Edward Kim |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 4140 Southwest Hwy, Hometown, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588198626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125.072376 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Chicago | 7719899426 | 1157 |
Austin Medical Associates X Llc | 8123477460 | 25 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477262046 PECOS PAC ID: 7719899426 Enrollment ID: O20230206002554 |
Mailing Address | Practice Location Address |
---|---|
Edward Kim, 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700 | Edward Kim, 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700 |
Alon Bloom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4140 Southwest Hwy, Advocate Christ Family Medicine, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
Dr. Jolyne Noel Kaar, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4140 Southwest Highway, Hometown, IL 60456 Phone: 708-422-5700 | |
Carrie Salvia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
Dr. Faisal Lala, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 | |
David Michael Podrebarac, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 | |
Alice-gray Lewis, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 |