Individual provider Active NPI

Joon Woo Kim, MD PHD

  • Rheumatology Physician
  • Grayslake, IL
National Provider Identifier
1730173030
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Practice address
925 Hoffner Dr
Grayslake, IL 60030-1670
Phone
(847) 223-6330
Fax
(847) 223-6382
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X IL Primary

Addresses

Primary practice location

925 Hoffner Dr
Grayslake, IL 60030-1670

Mailing address

925 Hoffner Dr
Grayslake, IL 60030-1670
Phone (847) 223-6330

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100206000042 IL Practitioner - Rheumatology 8325181753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

925 Hoffner Dr
Grayslake, IL 60030-1670
Phone (847) 223-6330

Hospital & facility affiliations

  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088083ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joon Woo Kim, M.D., SC. Rheumatology CurrentSince Sep 1, 1998 Accepting new patients

Locations

925 Hoffner Dr
Grayslake, IL 60030
Phone (847) 223-6330

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.

Hospital & facility affiliations 1

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730173030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HOFFNER DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301670",
            "telephone_number": "847-223-6330",
            "fax_number": "847-223-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HOFFNER DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301670",
            "telephone_number": "847-223-6330",
            "fax_number": "847-223-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON",
        "middle_name": "WOO",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.