Eui Tae Kim, DPM | |
5310 N Sheridan Rd Ste 1, Chicago, IL 60640-2515 | |
(773) 205-0106 | |
Not Available |
Full Name | Eui Tae Kim |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 5310 N Sheridan Rd Ste 1, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700405651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016006022 (Illinois) | Primary |
Provider Name | Chicago Mobile Foot Care Limited |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346961323 PECOS PAC ID: 1052789690 Enrollment ID: O20221201002272 |
Mailing Address | Practice Location Address |
---|---|
Eui Tae Kim, DPM 7753 Milford Haven Dr Apt B, Lorton, VA 22079-4741 Ph: (703) 472-8310 | Eui Tae Kim, DPM 5310 N Sheridan Rd Ste 1, Chicago, IL 60640-2515 Ph: (773) 205-0106 |
Dr. Kevin Paul Malone, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1715 E 95th St, Chicago, IL 60617 Phone: 773-768-4437 Fax: 773-564-3515 | |
Chicago Foot Clinic, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2801 W Cermak Rd, Chicago, IL 60623 Phone: 773-376-7200 Fax: 773-376-9211 | |
Darla Thomas, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1706 E 87th St, Chicago, IL 60617 Phone: 773-374-5300 | |
Dr. Petrina Chino, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-2245 | |
Dr. Marwan Zayed, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3631 N Harlem Ave, Chicago, IL 60634 Phone: 773-725-2953 Fax: 773-725-2932 | |
Michael Stefan Williams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2752 N Southport Ave, Chicago, IL 60614 Phone: 773-327-0006 | |
Chicago Foot & Ankle Deformity Correction Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 60 E Delaware Pl, Suite 1480, Chicago, IL 60611 Phone: 312-355-3939 |