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Jae Kim, M.D.

Anesthesiology Physician in Canton, IL · enumerated 2006 · authorized official Jae Kim, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710928627

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Registry record

Entity type Organization (Type 2)
Legal business name Jae Kim, M.D.
Practice address 210 W Walnut St, Canton, IL, 61520
Phone (309) 647-5240
Fax (309) 647-5104
Enumeration date Jun 10, 2006
Last updated in NPPES May 1, 2015

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 036056328 (IL) Primary

Authorized official

Name Jae Kim
Title Owner
Phone (309) 671-8749

Other identifiers

Identifier Type State Issuer
036056328 Medicaid IL -
P00945642 Other IL RAILROAD MEDICARE PTAN

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.

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Frequently asked questions

Who is the authorized official for Jae Kim, M.D.?
NPPES lists Jae Kim (Owner) as the authorized official for this organization.
What is the NPI number for Jae Kim, M.D.?
The NPI for Jae Kim, M.D. is 1710928627, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-01.