Individual provider Active NPI

Ihn Kim, D.C.

  • Chiropractor
  • Mount Prospect, IL
National Provider Identifier
1689066169
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012220 Issued in IL
Practice address
1052 S Elmhurst Rd
Mt Prospect, IL 60056-4240
Phone
(847) 439-9100
Fax
(847) 439-9105
NPI assigned
Feb 20, 2015
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012220 IL Primary

Addresses

Primary practice location

1052 S Elmhurst Rd
Mt Prospect, IL 60056-4240

Mailing address

1052 S Elmhurst Rd
Mt Prospect, IL 60056-4240
Phone (847) 439-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150530000056 IL Practitioner - Chiropractic 5890016018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Chiro and Rehab Center IncGroup PAC ID 0446497051, 3 clinicians

Practice addresses (Care Compare)

505 Milwaukee Ave
Glenview, IL 60025-5639
Phone (847) 730-3654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M.Y Chiro & Rehab Center Inc Chiropractor CurrentSince Nov 1, 2021 Accepting new patients

Locations

505 Milwaukee Ave
Glenview, IL 60025
Phone (630) 379-6237

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1689066169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 S ELMHURST RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564240",
            "telephone_number": "847-439-9100",
            "fax_number": "847-439-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 S ELMHURST RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564240",
            "telephone_number": "847-439-9100",
            "fax_number": "847-439-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "IHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.