Provider Type Icon

JEONG NAM KIM-JUDD MD NPI 1013100122


NPI Information

NPI: 1013100122
Provider Name: JEONG NAM KIM-JUDD, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2160 SOUTHERN ILLINOIS ROUTE 157
STE B
GLEN CARBON, IL
ZIP 62034
Phone: (618) 692-1212
Get Directions

Jeong Nam Kim-judd, MD is a pediatrics in Glen Carbon, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jeong Nam Kim-judd, MD NPI is 1013100122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2160 SOUTHERN ILLINOIS ROUTE 157
STE B
GLEN CARBON, IL
ZIP 62034-720
Phone: (618) 692-1212
Fax: (618) 692-4875

The enumeration date for this NPI number is 8/22/2007 and was last updated on 4/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics2011032430MISSOURINo
2208000000XPediatricsIL036128909ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.