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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK KIM, PA-C

Active

DEREK KIM, PA-C is a Surgical Physician Assistant healthcare provider located in GLENVIEW, Illinois. NPI 1811754898 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · GLENVIEW, IL

Registration Details

NPI Number
1811754898
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2024 (2.4875067062188 yrs)
Last Updated
Apr 25, 2025
License
085-010554 (IL)

Practice Information

Address
2401 RAVINE WAY
GLENVIEW, IL, 600257645
Browse IL providers · Browse ZIP 60025
Phone
8479985680
Fax
8479986365
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in GLENVIEW, IL

Name Credential NPI
MRS. ERICA JANE TWARLING PA 1033173356
TRAVIS J RAEBEL PA 1730251190
JENNY S. LEE PA 1518168657
ISAAC OCTAVIO PIMENTEL PA 1720289754
ROKSOLYANA ZELENA PA 1326249947
MEAGHAN ANNE WALSH PA-C 1942430210
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.