Active NPI
Jenny Y Kim, NP-C
- Family Nurse Practitioner
- Skokie, IL
National Provider Identifier
1952943953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.020329
- Practice address
- 9669 Kenton Ave Ste 405
Skokie, IL 60076-1267 - Phone
- (847) 933-0600
- NPI assigned
- Oct 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041358853 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.020329 | IL | Primary |
Addresses
Primary practice location
9669 Kenton Ave Ste 405
Skokie, IL 60076-1267
Mailing address
728 S Stuart LN
Palatine, IL 60067-6736
Phone (224) 628-3902
Other practice location 1
728 S Stuart Ln
Palatine, IL 60067-6736
Phone (224) 628-3902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041358853 | IL | MD | Registered Nurse |
| 209.020329 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seed Pediatrics S.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBEDCA/Endpoint/DBEDCA
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Skokie, IL
- NPI 1417299272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952943953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 S STUART LN",
"city": "PALATINE",
"state": "IL",
"postal_code": "600676736",
"telephone_number": "224-628-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9669 KENTON AVE STE 405",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761267",
"telephone_number": "847-933-0600"
}
],
"practiceLocations": [
{
"address_1": "728 S Stuart Ln",
"address_purpose": "LOCATION",
"city": "Palatine",
"state": "IL",
"postal_code": "600676736",
"country_code": "US",
"telephone_number": "224-628-3902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JENNY",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041358853",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.020329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.