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

Noah Euisub Kim

Individual provider Physician Assistant · NPI 1790489102

Noah Euisub Kim is a Physician Assistant in Libertyville, Illinois. Qualified in 2023, 3 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

890 Garfield Ave Ste 206
Libertyville, IL 60048-3100
Phone: (847) 816-7495
Fax: (847) 816-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4309 W Medical Center Dr Ste B202, McHenry, IL 60050-8417 — (815) 455-2752
  • 3502 Green Bay Rd Apt 203, North Chicago, IL 60064-3615 — (224) 432-4823

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009901 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1790489102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2023
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Libertyville