Pu Woong Kim,MD,.SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036-047684 Issued in IL

Legal business name

PU WOONG KIM,MD,.SC

Practice address

5140 N California Ave
Suite 715
Chicago, IL 60625-3645

Phone

(773) 561-1554

Fax

(773) 561-1586

NPI assigned

Feb 25, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pu Woong Kim, MD

Title

Direct of Pu Woog Kim,MD,.SC

Phone

(773) 561-1554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1811137243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 715",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-561-1554",
            "fax_number": "773-561-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 715",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-561-1554",
            "fax_number": "773-561-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PU WOONG KIM,MD,.SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PU",
        "authorized_official_middle_name": "WOONG",
        "authorized_official_title_or_position": "DIRECT OF PU WOOG KIM,MD,.SC",
        "authorized_official_telephone_number": "773-561-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036-047684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PT Wellness
• PT X Aj Inc
• Melissa Ptak, DO
• Patrycja Anna Ptak, BSN, RNC-NIC, IBCLC
• Donna Ptasinski, APRN
• Yonglin Pu
• Archariya Puangampai, PHARMD
• Deborah Lynn Pucci, PT
• Francesco Giovanni Pucci, M.D.
• Rheta Pucci, FNP

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.