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

Q: 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.

Q: What is Jean Kim's specialty?

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

Q: 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 10 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.

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: August 09, 2026.

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

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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

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Other Identifiers 5

Other347713028IL · Ptan Mchenry

Medicaid036-101238IL

Other347710033IL · Ptan Cook

Other347711014IL · Ptan Dupage

OtherIL3289017IL · Ptan Will

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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