Active NPI
Sarah S Kim, MD
- Family Medicine Physician
- Grayslake, IL
National Provider Identifier
1962562835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036053437
- Practice address
- 1275 E. Belvidere Rd
Suite 110
Grayslake, IL 60030 - Phone
- (847) 740-0300
- Fax
- (847) 740-0309
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036053437 | IL | Primary |
Addresses
Primary practice location
1275 E. Belvidere Rd
Suite 110
Grayslake, IL 60030
Mailing address
1275 E. Belvidere Rd
Suite 110
Grayslake, IL 60030
Phone (847) 740-0300
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036053437 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Doctors of Round Lake PC | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Grayslake, IL
- NPI 1831306885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1962562835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 E. BELVIDERE RD",
"address_2": "SUITE 110",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "60030",
"telephone_number": "847-740-0300",
"fax_number": "847-740-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 E. BELVIDERE RD",
"address_2": "SUITE 110",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "60030",
"telephone_number": "847-740-0300",
"fax_number": "847-740-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SARAH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036053437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.