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

Dr. Jason Yungsup Kim, MD

Individual provider Family Medicine Physician · NPI 1346435112

Dr. Jason Yungsup Kim, MD is a Family Medicine Physician in Great Lakes, Illinois. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3420 Illinois St Uss Tranquillity Clinic 1007
Great Lakes, IL 60088-3161
Phone: (847) 688-6755
Fax: (847) 688-6179
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301038461 (MI)

Record details

NPI number1346435112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 13, 2007
Last updated in NPPESJuly 26, 2010

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