Yoon Tae Kim, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036051682 Issued in IL

Practice address

1025 Sunset Rd
Winnetka, IL 60093-3622

Phone

(847) 446-9058

NPI assigned

Aug 13, 2013

Last updated

Aug 13, 2013By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1083047146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SUNSET RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600933622",
            "telephone_number": "847-446-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SUNSET RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600933622",
            "telephone_number": "847-446-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOON",
        "middle_name": "TAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036051682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Kemp, MSW
• Claire Kenneally, M.D.
• Pamela Joann Keys, LCSW
• Marie Eve S Kielson, MA LMFT LCPC
• Nelson Kim, PT, DPT
• Katelyn G Kluckman, MS, CF-SLP
• Melissa Koehler
• Lance William Kruse, DDS
• Edy Kupietzky, MSW, PHD, MPH
• Thanh Thien Ha Lan, M.D.

• Radiation Oncology Physician in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.