DR. JEAN OK KIM M.D. NPI 1962439992

NPI Information

  • NPI: 1962439992
  • Provider Name: DR. JEAN OK KIM, M.D.
  • Classification: Pediatrics - 2080P0208X
  • Specialization: Pediatric Infectious Diseases
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3333 GREEN BAY RD
    NORTH CHICAGO, IL
    ZIP 60064
  • Phone: (847) 578-3000

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NPI Details

DR. Jean Ok Kim, M.D. is a pediatric infectious diseases pediatrics in North Chicago, IL. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. DR. Jean Ok Kim, M.D. NPI is 1962439992. 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:

3333 GREEN BAY RD
NORTH CHICAGO, IL
ZIP 60064-037
Phone: (847) 578-3000

The NPI 1962439992 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 6/26/2006 and was last updated on 10/8/2025.

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
12080P0208XPediatricsPediatric Infectious Diseases40518IOWANo
22080P0208XPediatricsPediatric Infectious Diseases036-101238ILLINOISYes

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
1347713028OTHERILLINOISPTAN MCHENRY
2036-101238MEDICAIDILLINOIS
3347710033OTHERILLINOISPTAN COOK
4347711014OTHERILLINOISPTAN DUPAGE
5IL3289017OTHERILLINOISPTAN WILL

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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