Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164540480 Individual Practitioner Female Practitioner

Eun Ha Kim , NP

Nurse Practitioner • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Eun Kim, NP is a registered healthcare professional specializing in Nurse Practitioner in Maywood, IL. Practice services are available at 2160 S. FIRST AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2160 S. First Ave.
Room 1862a

Maywood, IL 60153

Telephone 7082164542
Fax 7082166961
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Maywood, IL (4929 Statewide)

Telehealth Adoption Rate
12.8% 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: 2021-04-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-002887

(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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1134361231

Doctor of Medicine (M.D.)

Daria Ruffolo , RN, MSN-CS, CCRN, ACNP

Nurse Practitioner - Acute Care

NPI 1366680498

Registered Nurse, MSNCS, CCRN, ACNP

Dr. Samuel Levin , MD

Psychiatry & Neurology - Psychiatry

NPI 1437854593

Doctor of Medicine (M.D.)

NPI 1528217288

Doctor of Medicine (M.D.)

Anthony Pawlisz , PTA

Physical Therapy Assistant

NPI 1922355122

Physical Therapist Assistant

Dr. Alexander Ree , MD

Radiology - Diagnostic Radiology

NPI 1932245578

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 23, 2021

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 7082169000)

NPI Profile Active February 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2012

Registered at 2160 S. FIRST AVE., ROOM 1862A, MAYWOOD, IL 60153 (Tel: 7082164542)

📍
Updated Business Mailing Address February 16, 2012

Registered at 323 FERNWOOD LN, GLENVIEW, IL 600254812 (Tel: 8478321027)

👤
Provider Name / Credentials Updated February 16, 2012

Recorded as EUN KIM, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2012

Nurse Practitioner (License #209-002887 in IL)

🟢
Initial NPI Registration & Enumeration March 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Eun Kim. Be the first to share your experience!

Sign in to leave a review for Eun Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164540480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: April 23, 2021
Sole Proprietor: No

Mailing Address

2160 S 1st Ave

Maywood, IL 601533328

Phone: 7082169000

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.