Active NPI
Kum Sook Kim, DC
- Chiropractor
- Des Plains, IL
National Provider Identifier
1821173345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 641 West Golf Road
Des Plains, IL 60016 - Phone
- (847) 640-8960
- Fax
- (847) 640-8964
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
641 West Golf Road
Des Plains, IL 60016
Mailing address
641 West Golf Road
Des Plains, IL 60016
Phone (847) 640-8960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110224000611 | IL | Practitioner - Chiropractic | 4688855521 | Practice locations: Des Plaines, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
641 W Golf Rd
Des Plaines, IL 60016-2462
Phone (847) 640-8960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821173345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 WEST GOLF ROAD",
"city": "DES PLAINS",
"state": "IL",
"postal_code": "60016",
"telephone_number": "847-640-8960",
"fax_number": "847-640-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 WEST GOLF ROAD",
"city": "DES PLAINS",
"state": "IL",
"postal_code": "60016",
"telephone_number": "847-640-8960",
"fax_number": "847-640-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KUM SOOK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plains, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.