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MOON KIM M.D.
NPI 1114963881
Pediatrics - Neonatal-Perinatal Medicine in Oak Brook, IL

Active since June 21, 2006
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523(630) 954-6700(630) 954-1555 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moon Kim M.d. NPPES

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

MOON KIM M.D. (NPI 1114963881) is an individual neonatal-perinatal medicine provider in Oak Brook, Illinois, licensed in Illinois (036-056827) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114963881
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMOON KIMCredential: M.D.
Location Address900 JORIE BLVD, SUITE 186Oak Brook, IL 60523-2213
Mailing Address900 Jorie Blvd, Suite 186Oak Brook, IL 60523-2213 · (630) 954-6700 · Fax (630) 954-1555
Phone(630) 954-6700
Fax(630) 954-1555
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 9, 2008
✔ NPI 1114963881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036-056827
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
900 JORIE BLVD, Oak Brook, IL 60523
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Other Identifiers 4

Medicaid036-085093IL
Medicare UPING541140IL
OtherL76293IL · Medicare Pin For Group #645650
Medicare PINL76292IL

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.

RAVI GEORGE D.O.
Hospitalist
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
ARVIND SHUKLA M.B.B.S.
Pediatrics (Neonatal-Perinatal Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
MOHAMMED SHABBIR M.D.
Internal Medicine
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
DR. KEVIN M. CONNOLLY D.C.
Chiropractor
900 JORIE BLVD, SUITE 104
OAK BROOK, IL 60523
Dupage County (630) 574-0422
DR. JOHN DAVIS M.D.
Internal Medicine (Adolescent Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
EMELIE MEDALLE M.D.
Pediatrics
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
DR. SHOBHANA RAVIKUMAR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
CAMILLE DICOSTANZO NNP
Nurse Practitioner (Neonatal)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700

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 Moon Kim's NPI number?

The NPI number for Moon Kim is 1114963881. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Moon Kim located?

Moon Kim practices at 900 Jorie Blvd Suite 186, Oak Brook, IL 60523. The listed phone number is (630) 954-6700.

What is Moon Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Moon Kim was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.