Susan L. Kim Medical Associates PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUSAN L. KIM MEDICAL ASSOCIATES PLLC

Practice address

2601 Compass Rd Ste 135
Glenview, IL 60026-8077

Phone

(224) 255-5408

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Susan Kim, DONPI 1568643211

Title

President

Phone

(847) 712-0477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Lee Kim, DO

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1568643211

  Primary Care

  Medicare reassignment NPD Authorized official
• Joan Kim

  • Ophthalmology Physician
  • Des Plaines, IL
  • NPI 1609049279
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1295434538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 PARK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252691",
            "telephone_number": "847-712-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD STE 135",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268077",
            "telephone_number": "224-255-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. KIM MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-712-0477",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne Zoe Sundstrom, MA CCC SLP L
• Super Dental Family Center
• Superior Optical LLC
• Superior Optical Service Inc
• Susan a Swidler OT LTD
• Suzanne B. Yellen, PH.D., P.C.
• Suzanne Pachtman
• Andrea Lynn Svoboda, OTR/L
• Julia Swider
• Michael Swoboda

• Primary Care Clinic/Center in Glenview, IL
• Providers in Glenview, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.

Verify at the official NPI Registry.