Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346986114 Individual Practitioner Female Practitioner

Amy Hae In Kim

Dentist - General Practice • Glenview, IL

Professional Overview & Biography Verified Profile Summary

Amy Kim is a registered healthcare professional specializing in Dentist - General Practice in Glenview, IL. Practice services are available at 630 MILWAUKEE AVE STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 Milwaukee Ave Ste 130

Glenview, IL 600255655

Telephone 8477303771
Associated Practice Facility / Clinic
🏢 Pa Dental Incorporated Facility NPI 1548809858

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glenview, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
59 Specialists

Practicing in Glenview, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% 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: 2023-02-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.034008

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859362

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.

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.

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 20, 2023

Registered at 630 MILWAUKEE AVE STE 130, GLENVIEW, IL 600255655 (Tel: 8477303771)

📍
Updated Business Mailing Address January 10, 2023

Registered at 2133 W BOWLER ST, CHICAGO, IL 606124201 (Tel: 8134697700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2023

Dentist (License #DN1859362 in MA)

📍
Updated Practice Location May 25, 2022

Registered at 20 HOLLAND ST STE 400, SOMERVILLE, MA 021442749 (Tel: 8134697700)

📍
Updated Business Mailing Address May 25, 2022

Registered at 171 WASHINGTON ST APT 2303, BRIGHTON, MA 021353534 (Tel: 8476604243)

NPI Profile Active May 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2022

Registered at 5014 DEVON PARK DR, TAMPA, FL 336472735 (Tel: 8134697700)

📍
Updated Business Mailing Address May 05, 2022

Registered at 5014 DEVON PARK DR, TAMPA, FL 336472735 (Tel: 8134697700)

👤
Provider Name / Credentials Updated May 05, 2022

Recorded as AMY KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 05, 2022

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: 1346986114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2022
Last Update: February 20, 2023
Sole Proprietor: No

Mailing Address

2133 W Bowler St

Chicago, IL 606124201

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.