| Roger Hoon Kim, MD | |
|
1900 E Main St, Danville, IL 61832-5100 | |
| (217) 554-3000 | |
| Not Available |
| Full Name | Roger Hoon Kim |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgical Oncology |
| Location | 1900 E Main St, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225237704 | NPI | - | NPPES |
| 036-144271 | Other | IL | STATE LICENSE |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Hoon Kim, MD 2520 Clayton Blvd, Champaign, IL 61822-2387 Ph: (631) 987-7168 | Roger Hoon Kim, MD 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-3000 |
Dean J Scavone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 Phone: 217-554-1800 Fax: 217-444-5888 | |
Dr. James Savage, Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 N Logan Ave Ste 204, Danville, IL 61832 Phone: 217-446-1827 | |
Dr. William J. Bowen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-477-4734 Fax: 217-477-4751 | |
Dr. Kulasekhar Sampath, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5450 | |
Dr. Muthiah Thangavelu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-446-6410 Fax: 217-477-4757 | |
Dr. Vijay Batura, MD Surgery Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4849 |