Individual provider Active NPI

Hyunsook Kim, RN, BSN

  • Registered Nurse
  • Morton Grove, IL
National Provider Identifier
1689624454
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041-204402 Issued in IL
Practice address
6049 Dempster St
Morton Grove, IL 60053-2943
Phone
(847) 309-1402
Fax
(847) 470-0650
NPI assigned
May 11, 2006
Reactivated
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-204402 IL Primary

Addresses

Primary practice location

6049 Dempster St
Morton Grove, IL 60053-2943

Mailing address

PO Box 342
Morton Grove, IL 60053-0342
Phone (847) 309-1402

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-204402ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Awe Charity Foundation CurrentSince Nov 7, 2025 Accepting new patients

Locations

6049 Dempster St
Morton Grove, IL 60053
Phone (847) 309-1402

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1689624454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600530342",
            "telephone_number": "847-309-1402",
            "fax_number": "847-470-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532943",
            "telephone_number": "847-309-1402",
            "fax_number": "847-470-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNSOOK",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "deactivation_date": "2018-11-30",
        "reactivation_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-204402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.