ALYSSA MISUN KIM
NPI 1174464804
Student in an Organized Health Care Education/Training Program in Evanston, IL

Active since April 06, 2026
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 570-1010 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Misun Kim NPPES

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

ALYSSA MISUN KIM (NPI 1174464804) is an individual student in an organized health care education/training program in Evanston, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1174464804
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA MISUN KIM
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686
Sole ProprietorYes
Enumeration DateApril 6, 2026
NPPES CertifiedApril 5, 2026
NPI 1174464804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2650 RIDGE AVE STE 1304, Evanston, IL 60201

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.

Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Dermatology
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201

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 Alyssa Kim's NPI number?

The NPI number for Alyssa Kim is 1174464804. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Alyssa Kim located?

Alyssa Kim practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (847) 570-1010.

What is Alyssa Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alyssa Kim was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.