| Edward J Kim, MD | |
|
4140 Southwest Hwy, Hometown, IL 60456-1135 | |
| (708) 422-5700 | |
| (708) 422-8225 |
| Full Name | Edward J Kim |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 4140 Southwest Hwy, Hometown, Illinois |
| 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 |
|---|---|---|---|
| 1588198626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.072376 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 036157587 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| The University Of Chicago | 7719899426 | 1421 |
| Austin Medical Associates X Llc | 8123477460 | 23 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477262046 PECOS PAC ID: 7719899426 Enrollment ID: O20230206002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Kim, MD 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700 | Edward J Kim, MD 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700 |
Alon Bloom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4140 Southwest Hwy, Advocate Christ Family Medicine, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
Dr. Jolyne Noel Kaar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Highway, Hometown, IL 60456 Phone: 708-422-5700 | |
Carrie Salvia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
David Michael Podrebarac, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 | |
Alice-gray Lewis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
Ms. Mehak D. Nangrani, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Highway, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 |