Individual
DR. JEAN OK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 578-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
036-101238
IL
2080P0208X
Pediatric Infectious Diseases Physician
40518
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-101238
—
IL
01
—
347710033
PTAN COOK
IL
01
—
347711014
PTAN DUPAGE
IL
01
—
347713028
PTAN MCHENRY
IL
01
—
IL3289017
PTAN WILL
IL
Enumeration date
06/26/2006
Last updated
10/08/2025
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