HYSOO KA-WIDMANN M.D. NPI 1841385259

NPI Information

  • NPI: 1841385259
  • Provider Name: HYSOO KA-WIDMANN, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1890 SILVER CROSS BLVD
    SUITE 210
    NEW LENOX, IL
    ZIP 60451
  • Phone: (815) 463-3000

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NPI Details

Hysoo Ka-widmann, M.D. is an obstetrics gynecology in New Lenox, IL with 26 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Hysoo Ka-widmann, M.D. NPI is 1841385259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:1999

The provider's business location address is:

1890 SILVER CROSS BLVD
SUITE 210
NEW LENOX, IL
ZIP 60451-524
Phone: (815) 463-3000
Fax: (815) 463-3013

The NPI 1841385259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/7/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology036105467ILLINOISYes

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
1P00266522MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MEDICARE
20361054671MEDICAIDILLINOIS
3K10776MEDICARE UPINILLINOIS
4G97526MEDICARE UPINILLINOIS
5036105467OTHERILLINOISBCBS

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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