Peace Medical Center, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042618663 Issued in IL

Legal business name

PEACE MEDICAL CENTER, S.C.

Practice address

14618 Lincoln Ave
Harvey, IL 60426-1610

Phone

(708) 339-7000

Fax

(708) 339-7026

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hee Han Kim, M.D.

Title

President

Phone

(773) 947-7534

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lima Lorren Redhead, MD

  • Obstetrics & Gynecology Physician
  • Damascus, MD
  • NPI 1447283445
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1851469936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6401",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605980401",
            "telephone_number": "312-498-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610",
            "telephone_number": "708-339-7000",
            "fax_number": "708-339-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE MEDICAL CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HEE",
        "authorized_official_middle_name": "HAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-947-7534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042618663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01636003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Patel, D.M.D
• Jagu Patel
• Nipa V Patel, MD
• Ricky Patel
• Patient Manager Services
• Lisa Peng, M.D.
• Carol Peppers-Taylor, LCPC
• Anita Marie Phillips
• Physicians Community Medical Center Harvey, S.C.
• Gwendolyn Denise Pinkney, FNP

• Family Medicine Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.