Active NPI
James Yug Kim, APN-CNP MSN-ED
- Nurse Practitioner
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209024302
- Practice address
- 1000 N Westmoreland Rd # Level1
Lake Forest, IL 60045-1658 - Phone
- (847) 534-3278
- Fax
- (847) 535-8590
- NPI assigned
- Oct 18, 2021
- Last updated
- Aug 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 041406091 | IL | |
| Nurse Practitioner | 363L00000X | 209024302 | IL | Primary |
Addresses
Primary practice location
1000 N Westmoreland Rd # Level1
Lake Forest, IL 60045-1658
Mailing address
1000 N Westmoreland Rd # Level1
Lake Forest, IL 60045-1658
Phone (847) 534-3278
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Pavillion B 3Rd FL
Lake Forest, IL 60045-1659
Phone (847) 535-8500
1000 Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
1200 N Westmoreland Rd
Suite 100
Lake Forest, IL 60045-1601
Phone (847) 735-8500
3445 N Central Ave
Chicago, IL 60634-4420
Phone (312) 715-8088
600 N Westmoreland Rd
Suite 1100
Lake Forest, IL 60045-1659
Phone (847) 535-9510
6155 Grand Ave
Gurnee, IL 60031-1651
6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041406091 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Gericare Associates PLLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Metropolitan Healthcare Partners PLLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088
3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800
5605 W Gunnison St
Chicago, IL 60630
Phone (773) 545-2525
6201 W Touhy Ave
Chicago, IL 60646
Phone (847) 462-4411
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150
1000 N Westmoreland Rd
#1
Lake Forest, IL 60045
Phone (847) 534-3278
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
9650 Gross Point Rd
Skokie, IL 60076
Phone (224) 251-1160
9650 Gross Point Rd
Ste 4900
Skokie, IL 60076
Phone (847) 663-8050
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1003631615
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1366167264
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1871256792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD # LEVEL1",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-534-3278",
"fax_number": "847-535-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD # LEVEL1",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-534-3278",
"fax_number": "847-535-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAMES",
"middle_name": "YUG",
"credential": "APN-CNP MSN-ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-18",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "041406091",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209024302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.