Eun Ha Kim is a Nurse Practitioner in Maywood, Illinois. Eun Ha Kim practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Eun Ha Kim is 1164540480. The last update date is 2021-04-23.
Eun Ha Kim's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082169000. The mailing address for Eun Ha Kim is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eun Ha Kim |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082169000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1164540480 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2021-04-23 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082169000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-002887 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Eun Ha Kim by the Centers for Medicare & Medicaid Services?
The Eun Ha Kim has been assigned the NPI (National Provider Identifier) 1164540480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Eun Ha Kim is physically located?
The Eun Ha Kim is physically situated at the following address: 2160 S 1St Ave, Maywood, IL, 601533328.
What is Eun Ha Kim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eun Ha Kim is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
When did Eun Ha Kim receive its 1164540480 assignment?
The Eun Ha Kim was assigned its 1164540480 on 2007-03-26, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Eun Ha Kim most recently updated or revised?
The details related to Eun Ha Kim, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-23.