| Dr Jean Ok Kim, MD | |
|
3333 Green Bay Rd, North Chicago, IL 60064-3037 | |
| (847) 578-3000 | |
| Not Available |
| Full Name | Dr Jean Ok Kim |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 3333 Green Bay Rd, North 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 |
|---|---|---|---|
| 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 | 40518 (Iowa) | Secondary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 036-101238 (Illinois) | Primary |
| 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 |
| Entity Name | County Of Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013920750 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
| 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 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: (847) 578-3000 |
Duke Geem, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 N Waukegan Rd Bldg Ap31-2, North Chicago, IL 60064 Phone: 847-937-3278 | |
Danilo Alesna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 14th St, North Chicago, IL 60064 Phone: 847-984-5200 | |
Dr. Susanna Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 800-393-0865 Fax: 224-610-7568 |