Taek Y. Kim, M.D., S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036046678 Issued in IL

Legal business name

TAEK Y. KIM, M.D., S.C.

Practice address

6800 Main St
Suite 215
Downers Grove, IL 60516-3493

Phone

(630) 971-0335

Fax

(630) 971-0364

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Taek Y. Kim, M.D.

Title

Owner

Phone

(630) 971-0335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1356608665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 MAIN ST",
            "address_2": "SUITE 215",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-971-0335",
            "fax_number": "630-971-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MAIN ST",
            "address_2": "SUITE 215",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-971-0335",
            "fax_number": "630-971-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAEK Y. KIM, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEK",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-971-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036046678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Allison Sypniewski, M.S., CCC-SLP
• Melissa Szachowicz
• Evelyn Szaflarski
• Kelly Maureen Szkliniarz, APN
• Inigo Louis Maningding Taal, OTD, OTR/L
• Taiylor Tagliere
• Tahir & Awais PLLC
• Julia G Tamasi, RDH
• Jennifer Tameling
• Prashanth Ravikiran Tamragouri, M.D.

• Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.