Active NPI
Yeong H. Kim MD, Facc, SC
- Cardiovascular Disease Physician
- Schaumburg, IL
National Provider Identifier
1750541967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036044777
- Legal business name
- YEONG H. KIM MD, FACC, SC
- Practice address
- 455 S Roselle Rd
Suite 207
Schaumburg, IL 60193-2971 - Phone
- (847) 301-1212
- Fax
- (847) 301-1277
- NPI assigned
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yeong H. Kim, MD
- Title
- President
- Phone
- (847) 301-1212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036044777 | IL | Primary |
Addresses
Primary practice location
455 S Roselle Rd
Suite 207
Schaumburg, IL 60193-2971
Mailing address
455 S Roselle Rd
Suite 207
Schaumburg, IL 60193-2971
Phone (847) 301-1212
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036044777 | Medicaid | IL | |
| 110067930 | Other | IL | RAILROAD MEDICARE |
| 585554 | Other | IL | AETNA-HMO |
| 21603515 | Other | IL | BLUE CROSS BLUE SHIELD |
| 4064400 | Other | IL | AAETNA-NON HMO |
| 4326553004 | Other | IL | CIGNA |
National Provider Directory
National Provider DirectoryLocations
455 S Roselle Rd
Ste 207
Schaumburg, IL 60193
Phone (847) 301-1212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1811939010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1750541967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S ROSELLE RD",
"address_2": "SUITE 207",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932971",
"telephone_number": "847-301-1212",
"fax_number": "847-301-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S ROSELLE RD",
"address_2": "SUITE 207",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932971",
"telephone_number": "847-301-1212",
"fax_number": "847-301-1277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YEONG H. KIM MD, FACC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YEONG",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-301-1212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036044777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036044777",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110067930",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "585554",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21603515",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAETNA-NON HMO",
"identifier": "4064400",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4326553004",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.