Dr Kyung S Kim, MD is a
Allergy & Immunology physician based in Niles, Illinois. Dr Kyung S Kim is licensed to practice in Illinois (license number 036068846) and her current practice location is 241 Golf Mill Ctr, Suite 202, Niles, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 375-8090.
NPI number for Dr Kyung S Kim is 1104932136 and her current mailing address is 241 Golf Mill Ctr, Suite 202, Niles, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104932136.
Physician's Profile
| Full Name | Dr Kyung S Kim |
|---|
| Gender | Female |
|---|
| Speciality | Allergy & Immunology |
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| Location | 241 Golf Mill Ctr, Niles, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104932136
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 11/28/2023
Medical Identifiers
Medical identifiers for Dr Kyung S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104932136 | NPI | - | NPPES |
| 036068846 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 036068846 (Illinois) | Secondary |
| 207K00000X | Allergy & Immunology | 036068846 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyung S Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kyung S Kim, MD
241 Golf Mill Ctr, Suite 202,
Niles, IL 60714-1224
Ph: (847) 375-8090 | Dr Kyung S Kim, MD
241 Golf Mill Ctr, Suite 202,
Niles, IL 60714-1224
Ph: (847) 375-8090 |
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