Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184165516 Individual Practitioner Female Practitioner

Dr. Mary Kim , DMD

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mary Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 2424 W PETERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2424 W Peterson Ave

Chicago, IL 606594100

Telephone 7737610300
Fax 7737610300
Associated Practice Facility / Clinic
🏢 Asian Human Services, Inc. Facility NPI 1548382690

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN122544

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019031189

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 34965

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

8800 Lockwood Ave

Skokie, IL 600771500

Phone: 7737610300

2501 W Peterson Ave

Chicago, IL 60659

Phone: 7737610300

251 E Huron St

Chicago, IL 606112908

Phone: 3129262000

8321 W Golf Rd

Niles, IL 607141113

Phone: 7737610300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1003025438

Doctor of Medicine (M.D.)

NPI 1124408976

Doctor of Medicine (M.D.)

Dr. Faraz Khan , DO

Family Medicine

NPI 1174013668

Doctor of Osteopathic Medicine (D.O.)

Phuong Nguyen , FAMILY NURSE PRACTIT

Nurse Practitioner - Family

NPI 1215591417

FAMILYNURSEPRACTIT

Kolleen Blume , LPC

Counselor - Professional

NPI 1336576826

Licensed Professional Counselor

NPI 1356425755

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2022

Dentist (License #019031189 in IL)

📍
Updated Practice Location May 11, 2021

Registered at 2424 W PETERSON AVE, CHICAGO, IL 606594100 (Tel: 7737610300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2021

Dentist (License #34965 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Dentist (License #019031189 in IL)

NPI Profile Active March 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2017

Registered at 251 E HURON ST, CHICAGO, IL 606112908 (Tel: 3129262000)

📍
Updated Business Mailing Address March 18, 2017

Registered at 500 PRESTWICK LN, WHEELING, IL 600906231 (Tel: 8476680125)

👤
Provider Name / Credentials Updated March 18, 2017

Recorded as MARY KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184165516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2017
Last Update: March 01, 2022
Sole Proprietor: No

Mailing Address

500 Prestwick Ln

Wheeling, IL 600906231

Phone: 8476680125

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.