Yong J Kim, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

3646679 Issued in IL

Practice address

396 Remington Blvd
Suite 250
Bolingbrook, IL 60440-4920

Phone

(630) 759-2966

Fax

(630) 759-6977

NPI assigned

Jul 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFHFBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JFDDAD

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.

• Femcare OB-GYN LTD

  dba Femcare OB-GYN

  • Obstetrics & Gynecology Physician
  • Bolingbrook, IL
  • NPI 1609315449
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1093738205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 250",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403721",
            "telephone_number": "630-759-2966",
            "fax_number": "630-759-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 250",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404920",
            "telephone_number": "630-759-2966",
            "fax_number": "630-759-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONG",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "3646679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinod V Khandate, PT
• Aaron K Kim, DPM
• Byoung O Kim, MD
• Eliza Kim, DMD
• Junghwan Kim, D.M.D.
• Karen A King
• Kevin Walter King, DDS
• Latressa Michele Kirksy
• KKB, LLC (Hidden Lakes Dental Care)
• Monika Klimek, FNP-C

• Obstetrics & Gynecology Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.