Dong S Kim MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DONG S KIM MD SC

Practice address

9700 N Kenton Ave
Ste K202
Skokie, IL 60076

Phone

(847) 933-3555

Fax

(847) 933-3559

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dong S Kim, MDNPI 1255307104

Title

Physician

Phone

(847) 933-3555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dong S Kim, MD

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1255307104
  Medicare reassignment Authorized official
• Grace Soo Kyung Bai, MD

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1932196219
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1932114451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WILLOW RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934140",
            "telephone_number": "847-933-3555",
            "fax_number": "847-933-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N KENTON AVE",
            "address_2": "STE K202",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-933-3555",
            "fax_number": "847-933-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG S KIM MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-933-3555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF IL",
            "identifier": "01626554",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101382",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey R Dolezal, PA-C
• Joanna Z Doliner, OT
• Laura M. Domagala
• Tetyana Domanchuk
• Marissa Gabona Domingo-Zahiruddin, RDN, LDN
• Nicole Radek Donohue, PT
• Arthur Dorf, M.D.
• Mitchell Dornfeld, PSY.D.
• Susan Becker Doroshow, D.D.S.
• Cynthia Denise Doucette, AM, LCSW

• Internal Medicine Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.