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EUN HA KIM NP
NPI 1164540480
Nurse Practitioner in Maywood, IL

Active since March 26, 2007PECOS Enrolled
2160 S. FIRST AVE., ROOM 1862A, MAYWOOD, IL 60153(708) 216-4542(708) 216-6961 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eun Ha Kim Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUN HA KIM NP (NPI 1164540480) is an individual nurse practitioner in Maywood, Illinois, licensed in Illinois (209-002887) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164540480
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEUN HA KIMCredential: NP
Location Address2160 S. FIRST AVE., ROOM 1862AMaywood, IL 60153
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000
Phone(708) 216-4542
Fax(708) 216-6961
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1164540480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-002887
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2160 S. FIRST AVE., Maywood, IL 60153
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eun Ha Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGNES RENEE LIBOT M.D.
Hospitalist
2160 S. FIRST AVE.
MAYWOOD, IL 60153
Cook County (708) 216-5118
DARIA RUFFOLO RN,MSN-CS,CCRN,ACNP
Nurse Practitioner (Acute Care)
2160 S. FIRST AVE.
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. SAMUEL JACOB LEVIN MD
Psychiatry & Neurology (Psychiatry)
2160 S. FIRST AVE., BUILDING 105, SUITE 1940
MAYWOOD, IL 60153
Cook County (708) 216-6200
NADIA KALEEM QURESHI M.D.
Pediatrics
2160 S. FIRST AVE.
MAYWOOD, IL 60153
Cook County (708) 327-9128
MR. ANTHONY THOMAS PAWLISZ PTA
Physical Therapy Assistant
2160 S. FIRST AVE.
MAYWOOD, IL 60153
Cook County (708) 327-1144
ALEXANDER REE MD
Radiology (Diagnostic Radiology)
2160 S. FIRST AVE., RADIOLOGY DEPARTMENT
MAYWOOD, IL 60153
Cook County (708) 216-9000
KELLY VICTORIA BUH
Genetic Counselor, MS
2160 S. FIRST AVE., BUILDING 150, ROOM 2656
MAYWOOD, IL 60153
Cook County (708) 216-6854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eun Kim's NPI number?

The NPI number for Eun Kim is 1164540480. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Eun Kim located?

Eun Kim practices at 2160 S. First Ave. Room 1862A, Maywood, IL 60153. The listed phone number is (708) 216-4542.

What is Eun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eun Kim enrolled in Medicare?

Yes. Eun Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eun Kim was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.