| Dr Tae Won Kim, MD | |
| 355 Ridge Ave, Evanston, IL 60202-3328 | |
| (847) 316-6101 | |
| Not Available | 
| Full Name | Dr Tae Won Kim | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 355 Ridge Ave, Evanston, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932148632 | NPI | - | NPPES | 
| 01615776 | Other | IL | BCBS PROVIDER NUMBER | 
| 036054630 | Medicaid | IL | |
| P01113996 | Other | IL | RRMC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036054630 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tae Won Kim, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-6101 | Dr Tae Won Kim, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-6101 | 
| Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
| Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
| Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
| Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
| Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
| Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
| Jacob Seth Ecanow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Radiology, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 |