Organization Active NPI

Yeong H. Kim MD, Facc, SC

  • Cardiovascular Disease Physician
  • Schaumburg, IL
National Provider Identifier
1750541967
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036044777 Issued in IL
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

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Yeong H. Kim, MDNPI 1811939010
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036044777MedicaidIL
110067930OtherILRAILROAD MEDICARE
585554OtherILAETNA-HMO
21603515OtherILBLUE CROSS BLUE SHIELD
4064400OtherILAAETNA-NON HMO
4326553004OtherILCIGNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.