Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679319313 Individual Practitioner Female Practitioner

Dr. Rola Kim , DMD

Dentist - General Practice • Oquawka, IL

Professional Overview & Biography Verified Profile Summary

Dr. Rola Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Oquawka, IL. Practice services are available at 1204 HIGHWAY 164 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1204 Highway 164 E

Oquawka, IL 614693204

Telephone 3098672202
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oquawka, IL

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

Practicing in Oquawka, 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: 2024-07-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019035274

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Jonathan Lindo , MD

General Practice

NPI 1124209432

Doctor of Medicine (M.D.)

Shannon Vanzummeren , APN

Nurse Practitioner - Family

NPI 1205202074

Advanced Practice Nurse

Dr. Crystal Simpson , DMD

Dentist - General Practice

NPI 1265817977

Doctor of Dental Medicine

Yvonne Fillmore , ANP

Nurse Practitioner - Family

NPI 1356794317

Adult Nurse Practitioner

Susan Jensen , LCSW

Social Worker - Clinical

NPI 1770097131

Licensed Clinical Social Worker

NPI 1942088893

RDHPHDH

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 1204 HIGHWAY 164 E, OQUAWKA, IL 614693204 (Tel: 3098672202)

📍
Updated Business Mailing Address July 02, 2024

Registered at 10419 DEARLOVE RD APT A1, GLENVIEW, IL 600253527 (Tel: 2243616908)

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as ROLA KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Dentist (License #019035274 in IL)

🟢
Initial NPI Registration & Enumeration July 02, 2024

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: 1679319313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: July 02, 2024
Sole Proprietor: Yes

Mailing Address

10419 Dearlove Rd Apt A1

Glenview, IL 600253527

Phone: 2243616908

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.