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CHANG KWON KIM M.D.,F.A.C.S.
NPI 1104883768
Surgery in Geneva, IL

Active since April 27, 2006
0N300 ARMSTRONG LN, GENEVA, IL 60134(630) 208-1700 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chang Kwon Kim M.d.,f.a.c.s. NPPES

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

CHANG KWON KIM M.D.,F.A.C.S. (NPI 1104883768) is an individual surgery provider in Geneva, Illinois, licensed in Illinois (036060318) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1104883768
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHANG KWON KIMCredential: M.D.,F.A.C.S.
Location Address0N300 ARMSTRONG LNGeneva, IL 60134-6081
Mailing AddressPo Box 546St Charles, IL 60174-0546 · (630) 208-1700 · Fax (630) 208-1707
Phone(630) 208-1700
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1104883768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036060318
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 036060318 (IL)
0N300 ARMSTRONG LN, Geneva, IL 60134
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Other Identifiers 2

Medicare UPIND14291IL
Medicaid036060318IL

Other Providers at the Same Location NPPES

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

CHANG K KIM MD PC
Surgery
0N300 ARMSTRONG LN
GENEVA, IL 60134
Kane County (630) 208-1700

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 Chang Kim's NPI number?

The NPI number for Chang Kim is 1104883768. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Chang Kim located?

Chang Kim practices at 0n300 Armstrong Ln, Geneva, IL 60134. The listed phone number is (630) 208-1700.

What is Chang Kim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Chang Kim was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.