Jonghyun Kim

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038012597 Issued in IL

Practice address

1245 Milwaukee Ave Ste 303
Glenview, IL 60025

Phone

(224) 704-9164

NPI assigned

Mar 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Young Clinic Inc

  • Rehabilitation Chiropractor
  • Glenview, IL
  • NPI 1942793948
  Medicare reassignment NPD Authorized official
• Young Rehab

  • Rehabilitation Chiropractor
  • Gurnee, IL
  • NPI 1548869308
  Medicare reassignment NPD Authorized official
• Beijing Acupuncture Pain and Rehabilitation, Inc

  • Acupuncturist
  • Glenview, IL
  • NPI 1255668877
  NPD (past)

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1942626627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MILWAUKEE AVE STE 303",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252400",
            "telephone_number": "224-704-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MILWAUKEE AVE STE 303",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "224-704-9164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Milwaukee Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252400",
            "country_code": "US",
            "telephone_number": "847-635-6080",
            "fax_number": "847-635-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONGHYUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Hae in Kim
• Eunki Kim
• Haisook Kim, CRNA
• Jennifer S Kim, MD
• Jenny Kim, M.D.
• Julie K Kim, M.D.
• Kwang Soo Steve Kim, D.D.S.
• Min Kim, D.C
• Susan Lee Kim, DO
• Jacqueline King, RD

• Rehabilitation Chiropractor in Glenview, IL
• Providers in Glenview, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.