Jisoo Kim, - Medicare Family Medicine in Berwyn, IL

Jisoo Kim, is a medicare enrolled "Family Medicine" physician in Berwyn, Illinois. Her current practice location is 3249 Oak Park Ave, Berwyn, Illinois. You can reach out to her office (for appointments etc.) via phone at (877) 834-7264.

Jisoo Kim is licensed to practice in Illinois (license number 125.081833) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144924259.

Contact Information

Jisoo Kim,
3249 Oak Park Ave,
Berwyn, IL 60402-3429
(877) 834-7264
Not Available



Physician's Profile

Full NameJisoo Kim
GenderFemale
SpecialityFamily Medicine
Location3249 Oak Park Ave, Berwyn, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144924259
  • Provider Enumeration Date: 03/30/2023
  • Last Update Date: 06/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840649711
  • Enrollment ID: I20231218002825

Medical Identifiers

Medical identifiers for Jisoo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144924259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.081833 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jisoo Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jisoo Kim,
3249 Oak Park Ave,
Berwyn, IL 60402-3429

Ph: () -
Jisoo Kim,
3249 Oak Park Ave,
Berwyn, IL 60402-3429

Ph: (877) 834-7264

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› Verified 3 days ago


Family Medicine Doctors in Berwyn, IL

Mr. Micah James Leestma, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402
Phone: 708-783-2000    Fax: 708-783-3656
Nereida Esparza, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402
Phone: 708-783-2000    Fax: 708-783-3656
Maria Ramirez,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-9100    
Bradford S. Wainer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6840 Windsor Ave, Berwyn, IL 60402
Phone: 708-484-0042    Fax: 708-749-5489
Dr. Catherine Anichini, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6326 Cermak Rd, Berwyn, IL 60402
Phone: 708-303-9234    Fax: 305-698-6536
Elsa Valero, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6425 Cermak Rd, Berwyn, IL 60402
Phone: 708-484-0044    
Dr. Ron Chacko,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7000 Cermak Rd, Berwyn, IL 60402
Phone: 708-484-8090    Fax: 708-445-4444

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