GINNA J KIM CRNA
NPI 1053649590
Nurse Anesthetist, Certified Registered in Libertyville, IL

Q: What is Ginna Kim's NPI number?

The NPI number for Ginna Kim is 1053649590. It was assigned to this individual provider in the NPPES registry on November 20, 2009. The provider is also known as Ginna J Moon Crna.

Q: What is Ginna Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Ginna Kim was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2009

801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 362-2905 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ginna J Kim Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINNA J KIM CRNA (NPI 1053649590) is an individual nurse anesthetist, certified registered in Libertyville, Illinois, licensed in Illinois (209007882) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1053649590

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameGINNA J KIMCredential: CRNA

Location Address801 S MILWAUKEE AVELibertyville, IL 60048-3204

Mailing Address105 Willow PkwyBuffalo Grove, IL 60089-6608 · (847) 567-3123

Phone(847) 362-2905

Sole ProprietorNo

Enumeration DateNovember 20, 2009

Last NPPES UpdateJanuary 3, 2014

✔ NPI 1053649590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209007882

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041329165 (IL)

801 S MILWAUKEE AVE, Libertyville, IL 60048

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Other Names 1

Former Name (1)Ginna J Moon Crna

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNA MAE STEGEMANN D.O.

Anesthesiology

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2135

MAUREEN FRITZ DPT

Physical Therapist

801 S MILWAUKEE AVE, REHAB DEPARTMENT
LIBERTYVILLE, IL 60048

Lake County (847) 990-5350

DR. DEAN JOSEPH CONTERATO MD

Radiology (Radiation Oncology)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5910

GLORIA BOLAND BSN, RN, CDCES

Registered Nurse (Diabetes Educator)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5579

CONDELL MEDICAL CENTER

General Acute Care Hospital

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

MARINA LYUBKIN

Nurse Practitioner

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

IHC-LIBERTYVILLE EMERGENCY PHYSICIANS, LLC

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (414) 290-6718

DR. DIMITRIOS T. MOUGOLIAS M.D.

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ginna Kim's NPI number?

The NPI number for Ginna Kim is 1053649590. It was assigned to this individual provider in the NPPES registry on November 20, 2009. The provider is also known as Ginna J Moon Crna.

Where is Ginna Kim located?

Ginna Kim practices at 801 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 362-2905.

What is Ginna Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Ginna Kim was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.