Kim & Mizera Surgical Associates SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036097666 Issued in IL

Legal business name

KIM & MIZERA SURGICAL ASSOCIATES SC

Practice address

5140 N California Ave Ste 560
Chicago, IL 60625-2577

Phone

(773) 275-4496

Fax

(773) 784-6141

NPI assigned

Aug 8, 2006

Last updated

May 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven S. Kim, M.D.

Title

President

Phone

(773) 275-4496

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STEVEN S KIM MD SC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecylia K. Mizera, M.D.

  • Surgical Oncology Physician
  • Chicago, IL
  • NPI 1114937687

  Surgery

  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1831109313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE STE 560",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252577",
            "telephone_number": "773-275-4496",
            "fax_number": "773-784-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE STE 560",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252577",
            "telephone_number": "773-275-4496",
            "fax_number": "773-784-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & MIZERA SURGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-275-4496",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036097666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTIN",
            "identifier": "213876",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEVEN S KIM MD SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marcia Kilpatrick, OT
• Natalie Kilpatrick, MA
• Norah Kilpatrick, DNP, CNM
• Stephanie Kilper, LCPC
• Jillian Anna Kilrea, RN
• Kim Anesthesiologists, P.C.
• Kim K. Tee, DPM, P. C.
• Catherine Kim-Gavino, M.D.
• Sophia Yoona Kim-Wang, MD, PHD
• Abraham Kim, PTA

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.