IndividualActive
Jae Kim, M.D.
NPI 1316981491 · Anesthesiology Physician · Canton, IL
Provider details
- NPI number
- 1316981491
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036056328 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 W Walnut St
Canton, IL 61520-2444
Phone: (309) 647-5240
Fax: (309) 647-5104
Street-level locationGet directions
Mailing address
7309 N Knoxville Ave
Peoria, IL 61614-2085
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2015-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.