Jae K Kim is a Anesthesiology in Peoria, Illinois. Jae K Kim practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Jae K Kim is 1316981491. The last update date is 2015-05-04.
Jae K Kim's current location address is 7309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096916225 and fax number 3096917635. The mailing address for Jae K Kim is 7309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae K Kim |
|---|---|
| Address | 7309 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096916225 |
| Fax Number | 3096917635 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316981491 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2015-05-04 |
Provider Mailing Address Detail
| Address | 7309 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616142085 |
| Phone Number | 3096916225 |
| Fax Number | 3096917635 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 36056328 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36056328 | IL | -- | |
| P00945642 | IL | RAILROAD MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Jae K Kim by the Centers for Medicare & Medicaid Services?
The Jae K Kim has been assigned the NPI (National Provider Identifier) 1316981491. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jae K Kim is physically located?
The Jae K Kim is physically situated at the following address: 7309 N Knoxville Ave, Peoria, IL, 616142085.
What is Jae K Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jae K Kim's area of specialization is Anesthesiology, and the corresponding taxonomy code that categorizes this field of practice is 207L00000X.
On what date did Jae K Kim receive its 1316981491 assignment from the Centers for Medicare & Medicaid Services?
The Jae K Kim was assigned its 1316981491 on 2006-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jae K Kim, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jae K Kim, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-05-04.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH