Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Kim, DMD

Individual provider Dentist · NPI 1184165516

Mary Kim, DMD is a Dentist in Chicago, Illinois. Works from 5 locations. Licensed in Georgia, Illinois and Texas.

Licensed in
GA, IL, TX
In the registry since
2017
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2424 W Peterson Ave
Chicago, IL 60659-4100
Phone: (773) 761-0300
Fax: (773) 761-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 251 E Huron St, Chicago, IL 60611-2908 — (312) 926-2000
  • 2501 W Peterson Ave, Chicago, IL 60659 — (773) 761-0300
  • 8321 W Golf Rd, Niles, IL 60714-1113 — (773) 761-0300
  • 8800 Lockwood Ave, Skokie, IL 60077-1500 — (773) 761-0300

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN122544 (GA)
Dentist Taxonomy 122300000X · Licence 019031189 (IL)
Dentist Taxonomy 122300000X · Licence 34965 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184165516
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 18, 2017
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address500 Prestwick Ln, Wheeling, IL 60090-6231

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