Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285175109 Individual Practitioner Male Practitioner

Stephen Kim , CPO

Orthotist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Stephen Kim, CPO is a registered healthcare professional specializing in Orthotist in Chicago, IL. Practice services are available at 1304 E 47TH ST STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1304 E 47th St Ste 204

Chicago, IL 606534695

Telephone 3127575270
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Chicago, IL (57 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-16
Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

State License IL 213.000297

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Prosthetist

NUCC Taxonomy Code: 224P00000X

State License IL 211.000412

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1831691104

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2024

Prosthetist (License #211.000412 in IL)

📍
Updated Practice Location July 18, 2023

Registered at 1304 E 47TH ST STE 204, CHICAGO, IL 606534695 (Tel: 3127575270)

📍
Updated Business Mailing Address July 18, 2023

Registered at 1304 E 47TH ST STE 204, CHICAGO, IL 606534695 (Tel: 3127575270)

👤
Provider Name / Credentials Updated July 18, 2023

Recorded as STEPHEN KIM, CPO

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2017

Registered at 2434 W PETERSON AVE, CHICAGO, IL 606594113 (Tel: 7738782445)

📍
Updated Business Mailing Address March 10, 2017

Registered at 2434 W PETERSON AVE, CHICAGO, IL 606594113 (Tel: 7738782445)

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as STEPHEN KIM, C.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Orthotist (License #213.000297 in IL)

🟢
Initial NPI Registration & Enumeration March 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285175109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2017
Last Update: October 16, 2024
Sole Proprietor: Yes

Mailing Address

1304 E 47th St Ste 204

Chicago, IL 606534695

Phone: 3127575270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.