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DR. JEAN OK KIM M.D.
NPI 1962439992
Pediatrics - Pediatric Infectious Diseases in North Chicago, IL

Active since June 26, 2006PECOS Enrolled
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 578-3000 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2025, May 25, 2022, May 21, 2022 (3 updates tracked since 2022).

About Dr. Jean Ok Kim M.d. NPPES

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

DR. JEAN OK KIM M.D. (NPI 1962439992) is an individual pediatric infectious diseases provider in North Chicago, Illinois, licensed in Illinois (036-101238) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962439992
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. JEAN OK KIMCredential: M.D.
Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 578-3000
Phone(847) 578-3000
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1962439992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
Licenses✔ Licensed in IL · 036-101238✔ Licensed in IA · 40518
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
3333 GREEN BAY RD, North Chicago, IL 60064
Open in Google Maps ↗

Other Identifiers 5

Other347713028IL · Ptan Mchenry
Medicaid036-101238IL
Other347710033IL · Ptan Cook
Other347711014IL · Ptan Dupage
OtherIL3289017IL · Ptan Will

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jean Ok Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jean Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Lake
2.3 mi
Federally Qualified Health Center (FQHC)
2215 AUDREY NIXON BLVD
North Chicago, IL 60064
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
NPI 1083643118 (847) 984-5200
The Board Of Trustees Of The University Of Illinois
27 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697
Childrens Specialty Group PLLC
721 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANATOLIY PYSLAR
Psychiatry & Neurology (Psychiatry)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
SAFA MOHAMMAD
Nurse Anesthetist, Certified Registered
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
WILSON YANG
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
MS. CYNTHIA ANDREA CASTILLEJO
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3204
LEONARDO CLAYTON
Registered Nurse
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
OMOLARA T SHOLA-ELUFISAN
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
ELIZABETH SNIDER
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
DEMARQUES SANDERS RN
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000

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 Jean Kim's NPI number?

The NPI number for Jean Kim is 1962439992. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Jean Kim located?

Jean Kim practices at 3333 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 578-3000.

What is Jean Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Jean Kim enrolled in Medicare?

Yes. Jean Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jean Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Kim reassigns Medicare benefits to 3 organizations: County Of Lake (North Chicago, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Childrens Specialty Group PLLC (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Kim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jean 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 Jean Kim was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.