Active NPI
Joon Woo Kim, M.D., SC.
- Rheumatology Physician
- Grayslake, IL
National Provider Identifier
1184618209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- JOON WOO KIM, M.D., SC.
- Practice address
- 925 Hoffner Drive
Grayslake, IL 60030 - Phone
- (847) 223-6330
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joon Woo Kim, M.D.
- Title
- President
- Phone
- (847) 223-6330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 036088083 | IL | |
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
925 Hoffner Drive
Grayslake, IL 60030
Mailing address
925 Hoffner Drive
Grayslake, IL 60030
Phone (847) 223-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
925 Hoffner Dr
Grayslake, IL 60030
Phone (847) 223-6330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Grayslake, IL
- NPI 1730173030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1184618209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HOFFNER DRIVE",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "60030",
"telephone_number": "847-223-6330",
"fax_number": "847-223-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HOFFNER DRIVE",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "60030",
"telephone_number": "847-223-6330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOON WOO KIM, M.D., SC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JOON",
"authorized_official_middle_name": "WOO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-223-6330",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036088083",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.