Jenny Kim, MD | |
2701 Patriot Blvd, Glenview, IL 60026 | |
(312) 926-7337 | |
Not Available |
Full Name | Jenny Kim |
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Gender | Female |
Speciality | Pediatrics |
Location | 2701 Patriot Blvd, Glenview, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245529130 | NPI | - | NPPES |
036134533 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-134533 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Jenny Kim, MD 2701 Patriot Blvd, Glenview, IL 60026-8039 Ph: (312) 926-7337 | Jenny Kim, MD 2701 Patriot Blvd, Glenview, IL 60026 Ph: (312) 926-7337 |
Kala Sukerkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2406 Indian Ridge Dr, Glenview, IL 60026 Phone: 847-291-1878 | |
Diane Dimaggio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 Compass Rd, Suite 120, Glenview, IL 60026 Phone: 847-998-8806 Fax: 847-998-8807 | |
Jason J Canel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1435 Waukegan Rd, Glenview, IL 60025 Phone: 847-832-6500 Fax: 847-486-8906 | |
Dr. Leslie Anne Cordes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 Hudson Rd, Glenview, IL 60025 Phone: 847-657-8348 Fax: 215-944-7257 | |
Sheri S Fisher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Compass Rd, Suite 120, Glenview, IL 60026 Phone: 847-998-8806 Fax: 847-998-8807 | |
Thea L Yosowitz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1435 Waukegan Rd, Glenview, IL 60025 Phone: 847-832-6500 |