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

Individual provider Physical Therapist · NPI 1811355944

Jeongho Kim, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Mount Prospect, Illinois. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
13
Licensed in
IL, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1052 S Elmhurst Rd
Mount Prospect, IL 60056-4240
Phone: (847) 439-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021834 (IL)
Physical Therapist Taxonomy 225100000X · Licence 033030 (NY)

Record details

NPI number1811355944
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Prospect