Hyun Jae Ihm, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

036045849 Issued in IL

Practice address

1435 N Randall Rd
Suite 209
Elgin, IL 60123-2306

Phone

(847) 695-1620

Fax

(847) 695-1954

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Cardiothoracic & Vascular Surgical Associates S C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oak Lawn, IL
  • NPI 1780679407
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1073578613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 209",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-695-1620",
            "fax_number": "847-695-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 209",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-695-1620",
            "fax_number": "847-695-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHM",
        "first_name": "HYUN",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036045849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045849",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Ann Hutchinson
• Linda Hutchison, NP
• Jessica Hyde, DO
• David Charles Ideran, MHS, CADC, LCPC
• Jasminejoy Melo Ignacio
• Kiran Ijaz, MD
• Il Sober Living LLC (Elevare Behavioral Health - Elgin Sober Living)
• Illinois Cancer Specialists
• Illinois Department of Human Services (Elgin Mental Health Center)
• Illinois Gastroenterology Group, LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.