Yurie Kim

Individual provider Active NPI Occupational Therapist · Chicago, IL

NPI 1144822503 · NPPES record last updated Nov 11, 2020

Key facts

NPI
1144822503
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
1657 W Cortland St
Chicago, IL 60622-1119
Phone
(847) 486-4140
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pediatric Therapy Occupational Therapist Past
since Nov 15, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

1657 W Cortland St
Chicago, IL 60622-1119

Mailing address

950 Lee St Ste 210
Des Plaines, IL 60016-6574

Other providers in Chicago, IL

All providers in Chicago, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.