Ju Hyun Kim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

03643112 Issued in IL

Practice address

7600 W College Dr
Palos Heights, IL 60463-1001

Phone

(708) 448-2438

NPI assigned

Jun 16, 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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1114962164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 WILDFLOWER RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627446",
            "telephone_number": "708-349-1623",
            "fax_number": "708-349-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-448-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JU",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "03643112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IDENTIFICATION #",
            "identifier": "362770138",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raunak Sunil Khisty, MD, MPH
• Kristen Mary Kilinskis, MA, BCBA
• Paul Sheehan Killion, M.D.
• Kim and Calvert, M.D., S.C.
• Jerry Y Kim, M.D.
• Sonya King-Thomas, LCSW, DHA
• Kevin Michael King, D.D.S.
• Yun Kipnis, M.D.
• Kirk M. Contento DPM PC
• Todd S Kirk, MD

• Pediatrics Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.