Won D Kim, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

036057245 Issued in IL

Practice address

7425 Janes Ave
Woodridge, IL 60517-2356

Phone

(815) 300-7106

NPI assigned

Apr 17, 2006

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1275597197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172356",
            "telephone_number": "815-300-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172356",
            "telephone_number": "815-300-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WON",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036057245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057245",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Keys
• Meriam Khalil, PHARMD
• Wali Sajjad Khan, APN-CRNA
• Sarah Jahns Kidder, DO
• Jung E Kim, M.D.
• Jacob R Kirkwood, PHARMD
• KJ Counseling, PLLC
• Susanna Kleyman, MS
• Jillian Michelle Knight, APN-FPA, FNP-C
• Ann Kolar, PTA

• Neonatal-Perinatal Medicine Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Neonatal-Perinatal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.