Dr You-sah Kim, MD is a
Surgery physician based in Lake Villa, Illinois. Dr You-sah Kim is licensed to practice in Illinois (license number ) and his current practice location is 201 S. Miluakee Ave, Lake Villa, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 356-9009.
NPI number for Dr You-sah Kim is 1164548046 and his current mailing address is 1229 Ballantrae Pl, Mundelein, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164548046.
Physician's Profile
| Full Name | Dr You-sah Kim |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
|---|
| Location | 201 S. Miluakee Ave, Lake Villa, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164548046
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 09/26/2007
Medical Identifiers
Medical identifiers for Dr You-sah Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164548046 | NPI | - | NPPES |
| 22605 | Other | WI | AMERICAN BOARD OF SURGERY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 18888 (Wisconsin) | Secondary |
| 208600000X | Surgery | 18888 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | (Illinois) | Secondary |
| 208600000X | Surgery | (Illinois) | Primary |
| 208D00000X | General Practice | (Illinois) | Secondary |
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (Illinois) | Secondary |
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 You-sah 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 You-sah Kim, MD
1229 Ballantrae Pl,
Mundelein, IL 60060-3273
Ph: (847) 984-2419 | Dr You-sah Kim, MD
201 S. Miluakee Ave,
Lake Villa, IL 60046
Ph: (847) 356-9009 |
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