Individual provider Active NPI

Woo Chan Kim, MD

  • Anesthesiology Physician
  • Joliet, IL
National Provider Identifier
1477511863
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036094791 Issued in IL
Practice address
301 Madison St
Joliet, IL 60435-6557
Phone
(815) 725-6331
Fax
(815) 725-4709
NPI assigned
May 3, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036094791 IL Primary

Addresses

Primary practice location

301 Madison St
Joliet, IL 60435-6557

Mailing address

301 Madison St
Joliet, IL 60435-6557
Phone (815) 725-6331

Other identifiers 1

IdentifierTypeStateIssuer
036094791MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041028000053 IL Practitioner - Anesthesiology 1951399708 Reassigns benefits to 2 organizations
I20080814000674 IN Practitioner - Anesthesiology 1951399708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Chicago, Pritzker School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
American Anesthesiology Associates of Illinois, S.C.Group PAC ID 3971498924, 50 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Redreef Anesthesia Associates Chartered Indiana LLCGroup PAC ID 7012459647, 36 clinicians

Practice addresses (Care Compare)

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone (313) 637-9861

500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2490

600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jun 16, 2025 Accepting new patients
Redreef Anesthesia Associates Chartered Indiana LLC Anesthesiology CurrentSince Jun 16, 2025 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Oct 2, 2020 Accepting new patients
Madison Avenue Anesthesia Placement Services Anesthesiology Past Accepting new patients
American Anesthesiology of Illinois, LLC Anesthesiology Past Accepting new patients
St James Hospital US Catholic Conference Past Accepting new patients
Southwest Anesthesia Consultants, LLC Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

301 Madison St
Joliet, IL 60435
Phone (815) 725-6331

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1477511863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356557",
            "telephone_number": "815-725-6331",
            "fax_number": "815-725-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356557",
            "telephone_number": "815-725-6331",
            "fax_number": "815-725-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WOO",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036094791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.