Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134657026 Deactivated / Inactive NPI Female Practitioner

Dr. Soojin Kim , MD

Urology • Chicago, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Soojin Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2017
NPI Deactivation Date December 28, 2017
Total Practice Duration ~1 Years of Practice (2017 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Soojin Kim, MD was a registered Urology practicing in Chicago, IL. Throughout an active medical career spanning 1 years, Dr. Kim provided care at the practice location at 225 E. CHICAGO AVENUE, BOX 24 until profile deactivation on 2017-12-28.

Practice Location & Contact Primary Location

Practice Address

225 E. Chicago Avenue, Box 24
Ann And Robert H. Lurie Children's Hospital Of Chicago

Chicago, IL 60611

Telephone 3122276340
Fax 3122279412

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
205 Specialists

Practicing in Chicago, IL (663 Statewide)

Telehealth Adoption Rate
27.8% 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036142400

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1124076724

Doctor of Medicine (M.D.)

Katie Bryll , CPNP

Nurse Practitioner

NPI 1174803902

Certified Pediatric Nurse Practitioner

Dr. Emilie Johnson , MD

Urology - Pediatric Urology

NPI 1366568784

Doctor of Medicine (M.D.)

Lynn Freedman , CPNP

Nurse Practitioner - Pediatrics

NPI 1366986184

Certified Pediatric Nurse Practitioner

Hope Mcgowan , APRN

Nurse Practitioner - Pediatrics

NPI 1396228417

Advanced Practice Registered Nurse

Dr. Edward Gong , MD

Urology - Pediatric Urology

NPI 1457675233

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
🔄
NPI Profile Reactivated January 10, 2018

Record officially reactivated for active practice on January 10, 2018

📍
Updated Practice Location January 10, 2018

Registered at 225 E. CHICAGO AVENUE, BOX 24, ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, CHICAGO, IL 60611 (Tel: 3122276340)

📍
Updated Business Mailing Address January 10, 2018

Registered at 225 E. CHICAGO AVENUE, BOX 24, ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, CHICAGO, IL 60611 (Tel: 3122276340)

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as SOOJIN KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Urology (License #036142400 in IL)

⚠️
NPI Profile Deactivated December 28, 2017

Record deactivated on December 28, 2017

NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2017

Registered at 225 E. CHICAGO AVENUE, BOX 24, ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, CHICAGO, IL 60611 (Tel: 3122276340)

📍
Updated Business Mailing Address May 23, 2017

Registered at 225 E. CHICAGO AVENUE, BOX 24, ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, CHICAGO, IL 60611 (Tel: 3122276340)

👤
Provider Name / Credentials Updated May 23, 2017

Recorded as SOOJIN KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Urology (License #036142400 in IL)

🟢
Initial NPI Registration & Enumeration May 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Soojin Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Soojin Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1134657026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2017
Last Update: January 10, 2018
Deactivation Date: December 28, 2017
Sole Proprietor: No

Mailing Address

225 E. Chicago Avenue, Box 24, Ann And Robert H. Lurie Children's Hospital Of Chicago

Chicago, IL 60611

Phone: 3122276340

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.