Katie Kim

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.030666 Issued in IL

Practice address

56 W Dundee Rd
Buffalo Grove, IL 60089-3758

Phone

(224) 601-5001

NPI assigned

Sep 26, 2024

Last updated

Jun 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality Forever Healthcare P.CGroup PAC ID 6608009253, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Vitality Forever Healthcare P.C

  dba Vitality Urgent Care

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1396162392
  Medicare reassignment Care Compare group NPD
• Vitality Urgent Care Services

  • Urgent Care Clinic/Center
  • Buffalo Grove, IL
  • NPI 1053166769
  NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1700603024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W ALLEGHANY DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472359",
            "country_code": "US",
            "telephone_number": "224-601-5001",
            "fax_number": "224-333-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.030666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Kiernan, MD
• Kildeer Countryside Ccsd96
• Michelle Kilimnik, LCSW
• Jeanie Chung Kim, M.P.T.
• Joseph Minwoo Kim, PHARMD
• Mi Hoe Kim
• Mina Kim, PHARM.D.
• Paul S Kim, O.D.
• Shelly Z Kim, O.D.
• Carmelita King, CCC-SLP

• Nurse Practitioner in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.