Young Jin Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012896 Issued in IL

Practice address

990 Grand Canyon Pkwy
Suite 114
Hoffman Estates, IL 60169-1739

Phone

(847) 648-4101

Fax

(847) 744-5128

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Medcoa Clinic, LTD.

  • Chiropractor
  • Hoffman Estates, IL
  • NPI 1346604501
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1366896045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PKWY",
            "address_2": "SUITE 114",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691739",
            "telephone_number": "847-648-4101",
            "fax_number": "847-744-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PKWY",
            "address_2": "SUITE 114",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691739",
            "telephone_number": "847-648-4101",
            "fax_number": "847-744-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Plus Pediatric Dentistry
• Kids Plus Pediatric Dentistry, PC
• Izabela Kieta
• Gloria Kim, PA
• Jie Ae Kim
• Nathan E. Kimes, CRNA
• Jonathan Kind, M.D.
• Kinetic Life Logistics, Inc
• Shequitia King
• Kishore Lakhani MDSC

• Chiropractor in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.