Active NPI
Tae Woo Kim, MD
- Neuroradiology Physician
- Chicago, IL
National Provider Identifier
1265511018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- Practice address
- 5145 N California Avenue
Swedish Covenant Hospital
Chicago, IL 60625 - Phone
- (773) 989-3814
- Fax
- (773) 989-6230
- NPI assigned
- Nov 3, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | IL | Primary | |
| Diagnostic Radiology Physician | 2085R0202X | IL |
Addresses
Primary practice location
5145 N California Avenue
Swedish Covenant Hospital
Chicago, IL 60625
Mailing address
1634 Independence
Glenview, IL 60025
Phone (847) 904-7743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036054630 | IL | MD | Diagnostic Radiology Physician |
| 036056329 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiology Specialists, S.C. | Past | Accepting new patients | |
| Open Advanced MRI at North Shore, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Chicago, IL
- NPI 1134332323
-
- Diagnostic Radiology Physician
- Skokie, IL
- NPI 1821052648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265511018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 INDEPENDENCE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60025",
"telephone_number": "847-904-7743",
"fax_number": "847-904-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 N CALIFORNIA AVENUE",
"address_2": "SWEDISH COVENANT HOSPITAL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-989-3814",
"fax_number": "773-989-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TAE",
"middle_name": "WOO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.