OrganizationActive
Jae Kim, M.D.
NPI 1710928627 · Anesthesiology Physician · Canton, IL
Jae Kim, M.D. is a Anesthesiology Physician organization in Canton, IL (NPI 1710928627).
Provider details
- NPI number
- 1710928627
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jae Kim, Owner(309) 671-8749
- 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
- 2006-06-10
- Last updated
- 2015-05-01
Frequently asked questions
- What is Jae Kim, M.D.'s NPI number?
- Jae Kim, M.D.'s National Provider Identifier (NPI) is 1710928627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jae Kim, M.D.?
- Jae Kim, M.D. is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jae Kim, M.D. located?
- Jae Kim, M.D.'s practice location on file with NPPES is 210 W Walnut St, Canton, IL 61520-2444.
- What is Jae Kim, M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Jae Kim, M.D. is (309) 647-5240.
- Who is the authorized official for Jae Kim, M.D.?
- The authorized official listed on Jae Kim, M.D.'s NPPES record is Jae Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jae Kim, M.D.'s NPI active?
- Yes — Jae Kim, M.D.'s NPI (1710928627) is active in the NPPES registry as of the last update on 2015-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.