Young M Kim Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036048553 Issued in IL

Legal business name

YOUNG M KIM CORPORATION

Practice address

9865 W Roosevelt Rd
Ste 105
Westchester, IL 60154

Phone

(708) 344-1422

Fax

(708) 344-1481

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Young M Kim, MD

Title

Doctor

Phone

(708) 344-1422

Specialties & licenses 3

Addresses

Practitioners 2

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

• Tom S. Kim, M.D.

  • Hospitalist Physician
  • Kenosha, WI
  • NPI 1457465676

  Internal Medicine

  NPD (past)
• Sung-Jun Park, D.C

  • Chiropractor
  • Vienna, VA
  • NPI 1720191133
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1497701254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 W ROOSEVELT RD",
            "address_2": "STE 105",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-344-1422",
            "fax_number": "708-344-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9865 W ROOSEVELT RD",
            "address_2": "STE 105",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-344-1422",
            "fax_number": "708-344-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG M KIM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-344-1422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010479",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036048553",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Lawley DDS LTD
• Christena Wilson, LCSW
• Tatyana Wilson
• Erika Marie Winston
• Samantha Marie Wright, PHARMD
• Angela Zekios, DO
• Andrew S. Zelby, MD
• Zem Therapy & Consulting LLC
• Bailey Katherine Zinanni, DPT
• Connie E. Zurski

• Family Medicine Physician in Westchester, IL
• Providers in Westchester, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.