JAE KIM, M.D.
NPI 1710928627
Anesthesiology in Canton, IL

Active since June 10, 2006
210 W WALNUT ST, CANTON, IL 61520(309) 647-5240(309) 647-5104 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jae Kim, M.d. NPPES

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

JAE KIM, M.D. (NPI 1710928627) is a healthcare organization registered as an anesthesiology in Canton, Illinois and active in the NPI registry since June 2006. The organization lists Jae K Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1710928627
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameJAE KIM, M.D.
Location Address210 W WALNUT STCanton, IL 61520-2444
Mailing Address7309 N Knoxville Ave, Suite 200Peoria, IL 61614-2085 · (309) 691-6225 · Fax (309) 691-7635
Fax(309) 647-5104
Organization SubpartNo
Authorized OfficialJae K KimOwner · (309) 671-8749
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 1, 2015
NPI 1710928627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in IL · 036056328
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

210 W WALNUT ST, Canton, IL 61520

Other Identifiers 4

Medicare UPINC39993IL
Medicare PINIL2999IL
OtherP00945642IL · Railroad Medicare Ptan
Medicaid036056328IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Radiology (Diagnostic Radiology)
210 W WALNUT ST
CANTON, IL 61520
Radiology (Diagnostic Radiology)
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Dietitian, Registered
210 W WALNUT ST
CANTON, IL 61520
Pathology (Anatomic Pathology & Clinical Pathology)
210 W WALNUT ST
CANTON, IL 61520
Physical Therapist
210 W WALNUT ST
CANTON, IL 61520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710928627, enumerated as an "organization" on June 10, 2006.

The provider is located at 210 W WALNUT ST CANTON, IL 61520 and the phone number is (309) 647-5240.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.