Individual
JAE H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 FLETCHER DR STE 301, ELGIN, IL 60123-4750
(847) 741-0398
(847) 741-0549
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036 096031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096031
—
IL
Enumeration date
07/17/2006
Last updated
04/06/2026
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