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JAE KIM M.D. NPI 1710928627


NPI Information

NPI: 1710928627
Provider Name: JAE KIM, M.D.
Classification: Anesthesiology - 207L00000X
Entity Type: Organization
Address:
210 W WALNUT ST
CANTON, IL
ZIP 61520
Phone: (309) 647-5240
Get Directions

JAE KIM, M.D. is an anesthesiology in Canton, IL. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. JAE KIM, M.D. NPI is 1710928627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 W WALNUT ST
CANTON, IL
ZIP 61520-444
Phone: (309) 647-5240
Fax: (309) 647-5104

The provider's authorized official is Jae K Kim .
The authorized official title is Owner and has the following contact phone number (309) 671-8749.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 5/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology036056328ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C39993MEDICARE UPINILLINOIS
2IL2999MEDICARE PINILLINOIS
3P00945642OTHERILLINOISRAILROAD MEDICARE PTAN
4036056328MEDICAIDILLINOIS

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: 4/28/2024

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