Individual provider Active NPI

Jee Hoon Kim, D.C.

  • Nutrition Chiropractor
  • Chicago, IL
National Provider Identifier
1003844895
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Practice address
2317 W Chicago Ave
2 FL.
Chicago, IL 60622-4723
Phone
(773) 252-9740
Fax
(773) 252-9746
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X IL Primary

Addresses

Primary practice location

2317 W Chicago Ave
2 FL.
Chicago, IL 60622-4723

Mailing address

2317 W Chicago Ave
2 FL.
Chicago, IL 60622-4723
Phone (773) 252-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008066ILMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Health Care Associates Past Accepting new patients
Bassam Osman, MD, SC, LTD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003844895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 W CHICAGO AVE",
            "address_2": "2 FL.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-252-9740",
            "fax_number": "773-252-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 W CHICAGO AVE",
            "address_2": "2 FL.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224723",
            "telephone_number": "773-252-9740",
            "fax_number": "773-252-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEE",
        "middle_name": "HOON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.