Dongwon Acupuncture LTD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

198.000803 Issued in IL

Legal business name

DONGWON ACUPUNCTURE LTD

Practice address

1600 W Dempster St
204
Park Ridge, IL 60068-1109

Phone

(224) 938-9521

Fax

(224) 938-9522

NPI assigned

Jul 11, 2012

Last updated

Jul 11, 2012By 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

Richard KimNPI 1699952051

Title

Licensed Acupuncturist

Phone

(224) 938-9521

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, and the practitioner matching its NPPES authorized official.

• Richard Kim, L.AC

  • Acupuncturist
  • Park Ridge, IL
  • NPI 1699952051
  NPD (past) Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1912262387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W DEMPSTER ST",
            "address_2": "204",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681109",
            "telephone_number": "224-938-9521",
            "fax_number": "224-938-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W DEMPSTER ST",
            "address_2": "204",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681109",
            "telephone_number": "224-938-9521",
            "fax_number": "224-938-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGWON ACUPUNCTURE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "224-938-9521"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "198.000803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul H. Dombrowski, M.D.
• Erin Beth Dominiak, M.D.
• Lawrence A Domont, M.D.
• Kevin Dong, MD
• Dongwon Acupuncture Corp (Richard Kim)
• Innessa Michelle Donskoy, MD
• Megan Elizabeth Donzelli, DO
• Anne Kristin Doran, MD
• Jeslyn Dorband
• Taylor Patrice Dorlack, PHD, BCBA, NCSP

• Health Maintenance Organization in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.