Boryeong Kim, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013063 Issued in IL

Practice address

3405 S Halsted St
Chicago, IL 60608-6707

Phone

(630) 561-5001

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• BRK Chiropractic & Wellness

  • Chiropractor
  • Chicago, IL
  • NPI 1386380194
  NPD Authorized official

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1023543154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S INDIANA AVE UNIT 2106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162877",
            "telephone_number": "630-561-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086707",
            "telephone_number": "630-561-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 W 35th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164481",
            "country_code": "US",
            "telephone_number": "773-254-8977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BORYEONG",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D. Kim, M.D.
• Anne Kim
• Anne-Sophie Kim, MD
• Annie Kim
• Bess Kim
• Brian Sangwook Kim, MD
• Brian Won-Sik Kim, MD
• Catherine Young Kim, MD
• Chang Sun Kim, M.D.
• Christina Soojin Kim, M.D.

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.