Eun Ha Kim, NP
NPI 1164540480ActiveIndividual· Nurse Practitioner· Maywood, IL
Nurse Practitioner (NP) in Maywood, Illinois, licensed in IL, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1164540480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Mar 26, 2007 |
| Last updated in NPPES | Apr 23, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209-002887 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 37 nurse practitioners in Maywood · All nurse practitioners in Illinois