| Dr Charles C Kim, MD | |
|
801 S Washington St, Naperville, IL 60540-7430 | |
| (630) 355-0450 | |
| Not Available |
| Full Name | Dr Charles C Kim |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 801 S Washington St, Naperville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184672016 | NPI | - | NPPES |
| 036088002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036088002 (Illinois) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 036088002 (Illinois) | Secondary |
| Entity Name | Dupage Valley Anesthesiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309817 PECOS PAC ID: 6305747890 Enrollment ID: O20040116001019 |
| Entity Name | Adventist Health Partners, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932650496 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles C Kim, MD 387 Shuman Blvd, Suite 240w, Naperville, IL 60563-8450 Ph: (630) 355-0450 | Dr Charles C Kim, MD 801 S Washington St, Naperville, IL 60540-7430 Ph: (630) 355-0450 |
Dr. Thiruppathy R. Sabapathy, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-355-0450 | |
Dr. Hafez M. Sami, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-348-3300 | |
David Neill Myerson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-355-0450 | |
Dr. Kenneth Edward Langen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-355-0450 | |
Ismail Kazmi, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 810-357-1166 | |
Dr. Daniel J. Short, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-355-0450 | |
Arwa Raza, Anesthesiology Medicare: Medicare Enrolled Practice Location: 387 Shuman Blvd, Naperville, IL 60563 Phone: 248-881-0535 |