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Active NPI 1104883768 Individual Practitioner Male Practitioner

Dr. Chang Kwon Kim , MD, FACS

Surgery • Geneva, IL

Professional Overview & Biography Verified Profile Summary

Dr. Chang Kim, MD, FACS is a registered healthcare professional specializing in Surgery in Geneva, IL. Practice services are available at 0N300 ARMSTRONG LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

0n300 Armstrong Ln

Geneva, IL 601346081

Telephone 6302081700
Associated Practice Facility / Clinic
🏢 Chang K Kim Md Pc Facility NPI 1831391689

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Geneva, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Geneva, IL (1624 Statewide)

Telehealth Adoption Rate
12.5% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036060318

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License IL 036060318

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036060318 (IL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2013

Registered at 0N300 ARMSTRONG LN, GENEVA, IL 601346081 (Tel: 6302081700)

📍
Updated Business Mailing Address February 12, 2013

Registered at PO BOX 546, ST CHARLES, IL 601740546 (Tel: 6302081700)

👤
Provider Name / Credentials Updated February 12, 2013

Recorded as CHANG KIM, M.D.,F.A.C.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2013

Surgery (License #036060318 in IL)

🟢
Initial NPI Registration & Enumeration April 27, 2006

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: 1104883768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: February 12, 2013
Sole Proprietor: No

Mailing Address

Po Box 546

St Charles, IL 601740546

Phone: 6302081700

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.