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Dr. Dong Ouk Kim, M.D.

Dr. Dong Ouk Kim is a Surgery Physician provider (Surgery) practicing in Kankakee, IL, registered in the NPPES registry with NPI 1104938984 since 2006. The credential MD stands for Doctor of Medicine.

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NPI 1104938984
Entity type Individual (Type 1)
Name Dr. Dong Ouk Kim
Credential M.D.
Sex Male
Practice address Kankakee, IL, 60901
Phone 8159332221
Fax 8159337363
Enumeration date 2006-08-31
Last updated in NPPES 2007-07-08

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

Taxonomy code Specialty Primary License State
208600000X Surgery Physician Primary IL

MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Copy-ready billing details
Provider: Dong Kim, M.D.
NPI: 1104938984
Taxonomy: 208600000X (Surgery Physician)
Address: Kankakee, IL, 60901

Other providers at this practice address

NPI Name Type Specialty Location
1194781112 Safwat Iskander Individual Pediatrics Physician Kankakee, IL
1669412433 Jasmine Maly Individual Anesthesiology Physician Kankakee, IL
1518991538 Riverview Ob-Gyn, Ltd Organization Obstetrics & Gynecology Physician Kankakee, IL
1538263256 Soren Lang Individual Surgery Physician Kankakee, IL
1801992516 Juan Jimenez Individual Neurological Surgery Physician Kankakee, IL
1265539472 Keith M. Monson, M.D., Sc Organization Surgery Physician Kankakee, IL
1033217104 Maria Villegas Individual Physical Medicine & Rehabilitation Physician Kankakee, IL
1356488621 Regan Kendregan Individual Physician Assistant Kankakee, IL

Verify this record

Cross-check NPI 1104938984 against the authoritative CMS record: view Dr. Dong Ouk Kim on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Dong Kim?
The National Provider Identifier (NPI) for Dong Kim is 1104938984, a Type 1 (individual) record in the CMS NPPES registry.
Where does Dong Kim practice?
The practice location on file with NPPES is in Kankakee, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.