Jennifer Shin Hae Kim

M.D. | Pediatric Allergy-Immunology | Female

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Complete Profile:

Jennifer Shin Hae Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Jennifer Shin Hae Kim
Credential :	M.D.
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Jennifer Shin Hae Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2050 Pfingsten Rd Ste 320 Glenview, IL, 60026 United States
Phone Number :	847-998-4170
Fax Number :	847-998-4165

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1790748473
NPI Entity Type :	Individual
First Enrolment Date :	11 Apr, 2006
Last Updated On :	09 Aug, 2018

Medicare Participation:

Jennifer Shin Hae Kim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1951370352
Medicare Enrollment ID :	I20041001000670
Primary Specialty :	Allergy/immunology
Medical School :	Other
Graduation Year :	1998
Accepts Medicare?	Yes. Jennifer Shin Hae Kim accepts medicare insurance.

Group Practice Association:

Jennifer Shin Hae Kim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jennifer Shin Hae Kim is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
North Shore University Healthsystem Faculty Practice Associates	2163334699	1429	2100 Pfingsten Rd Glenview, IL - 600261301	Yes
North Shore University Healthsystem Faculty Practice Associates	2163334699	1429	2180 Pfingsten Rd 1st Floor Glenview, IL - 600261301	Yes
North Shore University Healthsystem Faculty Practice Associates	2163334699	1429	2050 Pfingsten Rd Glenview, IL - 600261313	Yes
North Shore University Healthsystem Faculty Practice Associates	2163334699	1429	1515 Sheridan Rd Wilmette, IL - 600911822 Ph: 8479202200	Yes
North Shore University Healthsystem Faculty Practice Associates	2163334699	1429	2650 Ridge Ave Evanston, IL - 602011700	Yes
North Shore University Healthsystem Faculty Practice Associates	2163334699	1429	2650 Ridge Ave Evanston, IL - 602011718	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Shin Hae Kim are as mentioned. Primary taxonomy code for Jennifer Shin Hae Kim, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	036103662	IL

Legacy Identifiers:

Other legacy medical identifiers of Jennifer Shin Hae Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036103662	MEDICAID	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2050 Pfingsten Rd Ste 320 Glenview, IL, 60026-1324 United States
Phone Number :	847-998-4170
Fax Number :	847-998-4165

Business Location:

Patients can refer following map for directions to Jennifer Shin Hae Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.