Jeanie Chung Kim, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

150 W Half Day Rd
Suite 207
Buffalo Grove, IL 60089-6591

Phone

(847) 955-0326

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jeanie Yun Chung Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013034461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ALBERT DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611612",
            "telephone_number": "847-573-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HALF DAY RD",
            "address_2": "SUITE 207",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896591",
            "telephone_number": "847-955-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEANIE",
        "middle_name": "CHUNG",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "CHUNG",
            "middle_name": "YUN",
            "prefix": "MISS",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tatyana Kholod Sanders
• Gabriel Kibrit, MD
• Joseph P Kiernan, MD
• Kildeer Countryside Ccsd96
• Michelle Kilimnik, LCSW
• Joseph Minwoo Kim, PHARMD
• Katie Kim
• Mi Hoe Kim
• Mina Kim, PHARM.D.
• Paul S Kim, O.D.

• Physical Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.