Active NPI
Hyeyeong Kim, ACT
- Acupuncturist
- Northbrook, IL
National Provider Identifier
1366852188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001188
- Practice address
- 3100 Dundee Rd Ste 402
Northbrook, IL 60062 - Phone
- (224) 203-5001
- NPI assigned
- May 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198.001188 | IL | Primary |
Addresses
Primary practice location
3100 Dundee Rd Ste 402
Northbrook, IL 60062
Mailing address
3100 Dundee Rd Ste 402
Northbrook, IL 60062-2452
Phone (224) 203-5001
Other practice location 1
512 W Burlington Ave
Suite.104
LA Grange, IL 60525-2221
Phone (708) 469-7592
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SOAP |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198.001188 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Aspen Inc. | Acupuncturist | Past | Accepting new patients |
| Healing Acupuncture and Herbs | Acupuncturist | 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.
-
- Acupuncturist
- Northbrook, IL
- NPI 1386292084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1366852188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD STE 402",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622452",
"telephone_number": "224-203-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD STE 402",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062",
"telephone_number": "224-203-5001"
}
],
"practiceLocations": [
{
"address_1": "512 W Burlington Ave",
"address_2": "Suite.104",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "IL",
"postal_code": "605252221",
"country_code": "US",
"telephone_number": "708-469-7592",
"fax_number": "708-469-7897",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "HYEYEONG",
"credential": "ACT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001188",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SOAP",
"affiliation": "N",
"address_1": "3100 Dundee Rd Ste 402",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "60062",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.