DR. JASON YUNGSUP KIM (MD) – Family Medicine Physician, NPI 1346435112

DR. JASON YUNGSUP KIM (MD) is a healthcare provider. based in Great lakes, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301038461 (MI). The NPI Number for DR. JASON YUNGSUP KIM (MD) is 1346435112

Main info

Male
Sole Proprietor
Name
DR. JASON YUNGSUP KIM (MD)
NPI
1346435112
Phone
(847) 688-6755
Address
3420 ILLINOIS ST
Enumeration Date
13 September 2007
Last Update Date
26 July 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JASON YUNGSUP KIM (MD)

  • 3420, Illinois Street, Great Lakes, North Chicago, Lake County, Illinois, 60088, United States

    USS TRANQUILLITY CLINIC 1007

    GREAT LAKES, IL 600883161

    Phone: (847) 688-6755

    Fax: (847) 688-6179

    Type: Location

  • Illinois Street, Great Lakes, North Chicago, Lake County, Illinois, 60088, United States

    USS TRANQUILLITY MEDICAL CLINIC 1007

    GREAT LAKES, IL 600885230

    Phone: (847) 688-6755

    Fax: (847) 688-7425

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-27

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60088)

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Reviews

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Frequently asked questions

What is DR. JASON YUNGSUP KIM (MD)'s NPI number?
DR. JASON YUNGSUP KIM (MD)'s NPI is 1346435112 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. JASON YUNGSUP KIM (MD)?
You should see DR. JASON YUNGSUP KIM (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JASON YUNGSUP KIM (MD)?
DR. JASON YUNGSUP KIM (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. JASON YUNGSUP KIM (MD) registered?
Use Great Lakes, Illinois as the headline location for DR. JASON YUNGSUP KIM (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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