| Dr Jun Dong Kim, DO | |
|
100 W Chicago Ave Ste F, East Chicago, IN 46312-3261 | |
| (219) 392-7016 | |
| (219) 397-6904 |
| Full Name | Dr Jun Dong Kim |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 16 Years |
| Location | 100 W Chicago Ave Ste F, East Chicago, Indiana |
| 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 |
|---|---|---|---|
| 1336411610 | NPI | - | NPPES |
| 036136056 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036136056 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 02004986A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 219 Health Network Inc | 0547521452 | 48 |
| Entity Name | 219 Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jun Dong Kim, DO 338 Larry Power Rd, Bourbonnais, IL 60914-4430 Ph: (815) 935-4651 | Dr Jun Dong Kim, DO 100 W Chicago Ave Ste F, East Chicago, IN 46312-3261 Ph: (219) 392-7016 |
Dr. Stacie Braswell, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 W Chicago Ave, East Chicago, IN 46312 Phone: 219-398-9685 Fax: 219-398-9695 | |
Dr. Janos Antal Uzonyi, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-1700 |