DR. KYUNG S KIM M.D. NPI 1104932136

NPI Information

  • NPI: 1104932136
  • Provider Name: DR. KYUNG S KIM, M.D.
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • CLIA Number: 14D0979694
  • Address: 241 GOLF MILL CTR
    SUITE 202
    NILES, IL
    ZIP 60714
  • Phone: (847) 375-8090

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NPI Details

DR. Kyung S Kim, M.D. is an allergy immunology in Niles, IL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Kyung S Kim, M.D. NPI is 1104932136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

241 GOLF MILL CTR
SUITE 202
NILES, IL
ZIP 60714-224
Phone: (847) 375-8090
Fax: (847) 375-8108

The CLIA number assigned to this NPI record is 14D0979694 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036068846ILLINOISNo
2207K00000XAllergy & Immunology036068846ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036068846MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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