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DR. KYUNG S KIM M.D.
NPI 1104932136
Allergy & Immunology in Niles, IL

Active since August 22, 2006CLIA 14D0979694 · Waiver
241 GOLF MILL CTR, SUITE 202, NILES, IL 60714(847) 375-8090(847) 375-8108 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyung S Kim M.d. NPPES

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

DR. KYUNG S KIM M.D. (NPI 1104932136) is an individual allergy & immunology provider in Niles, Illinois, licensed in Illinois (036068846) and active in the NPI registry since August 2006. She holds a CLIA Waiver certificate valid through October 29, 2026.

NPPES Registry Identity

NPI1104932136
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. KYUNG S KIMCredential: M.D.
Location Address241 GOLF MILL CTR, SUITE 202Niles, IL 60714-1224
Mailing Address241 Golf Mill Ctr, Suite 202Niles, IL 60714-1224 · (847) 375-8090 · Fax (847) 375-8108
Phone(847) 375-8090
Fax(847) 375-8108
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1104932136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in IL · 036068846
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 036068846 (IL)
241 GOLF MILL CTR, Niles, IL 60714
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Other Names 1

Former Name (1)Dr. Kyung S Kim M.d.

Other Identifiers 1

Medicaid036068846IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0979694

Kyung S Kim MD · Niles, IL
Active · expires Oct 29, 2026
CLIA Number14D0979694
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorKyung S. Kim MD
Laboratory Phone(847) 375-8090
Laboratory LocationKyung S Kim MD241 Golf Mill Center-Suite 202, Niles, IL 60714
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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. JORGE A ALIAGA M.D.
Internal Medicine (Gastroenterology)
241 GOLF MILL CTR, 728
NILES, IL 60714
Cook County (847) 635-7840
DONGSIK HA MSOM
Acupuncturist
241 GOLF MILL CTR, SUITE 824
NILES, IL 60714
Cook County (847) 410-1052
CAROL A. GILBERT AND ASSOCIATES, LLC
Counselor (Mental Health)
241 GOLF MILL CTR, SUITE 328
NILES, IL 60714
Cook County (847) 212-8305
LESLIE SWARTZ MS,CCC-SLP
Speech-Language Pathologist
241 GOLF MILL CTR, SUITE 200
NILES, IL 60714
Cook County (847) 699-9757
REBECCA A CLARK M.S.
Speech-Language Pathologist
241 GOLF MILL CTR, SUITE 201-203
NILES, IL 60714
Cook County (847) 699-9757
DR. CHANG PARK D.C.
Chiropractor
241 GOLF MILL CTR, SUITE # 424
NILES, IL 60714
Cook County (847) 297-2524
RACHEL NITZARIM PH.D
Psychologist
241 GOLF MILL CTR, SUITE 708
NILES, IL 60714
Cook County (847) 824-8366
CALLI COSENTINO MS
Student in an Organized Health Care Education/Training Program
241 GOLF MILL CTR, SUITE 201-203
NILES, IL 60714
Cook County (847) 699-9757

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 Kyung Kim's NPI number?

The NPI number for Kyung Kim is 1104932136. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Dr. Kyung S Kim M.D..

Where is Kyung Kim located?

Kyung Kim practices at 241 Golf Mill Ctr Suite 202, Niles, IL 60714. The listed phone number is (847) 375-8090.

What is Kyung Kim's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Does Kyung Kim hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0979694) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kyung Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kyung Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyung Kim was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.