Young Sun Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036105165 Issued in IL

Practice address

37W755 Il Route 38
Suite a
Saint Charles, IL 60175-7507

Phone

(630) 208-2098

Fax

(630) 513-1473

NPI assigned

Sep 1, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1194958587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 S THURLOW ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605215128",
            "telephone_number": "708-269-2949",
            "fax_number": "630-590-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37W755 IL ROUTE 38",
            "address_2": "SUITE A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757507",
            "telephone_number": "630-208-2098",
            "fax_number": "630-513-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "SUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105165",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036105165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyes2Life, Inc.
• Thamir Riad Khader, M.D
• Rodina Khan
• Sandy Khong
• Renee Marie Kiel, LCSW
• Sarah Titus Kimber, M.D.
• Laura Elizabeth King, PT
• Karina Kinlen, MSOTR/L
• Wayne R Kinzler, DDS
• Bess Kirch

• Internal Medicine Physician in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2009; 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.