Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae Kim, MD

Organization Anesthesiology Physician · NPI 1710928627

Jae Kim, MD is an Anesthesiology Physician in Canton, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

210 W Walnut St
Canton, IL 61520-2444
Phone: (309) 647-5240
Fax: (309) 647-5104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036056328 (IL)

Record details

NPI number1710928627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jae Kim — Owner · (309) 671-8749
NPI enumeratedJune 10, 2006
Last updated in NPPESMay 1, 2015
Mailing address7309 N Knoxville Ave, Suite 200, Peoria, IL 61614-2085

Other providers in Canton