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

Stanley T Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1790779791

Stanley T Kim, MD is a Diagnostic Radiology in Chicago, Illinois. Graduated from Rush Medical College of Rush University in 1999, 27 years ago. Practices with Wishon Radiological Medical Group Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
27
Trained at
Rush Medical College of Rush University
Licensed in
CA, IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2300 Children's Plaza No 9 Children's Memorial Hospital
Chicago, IL 60614
Phone: (773) 880-6792
Fax: (773) 880-3517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 151887 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036-111178 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036.111178 (IL)

Record details

NPI number1790779791
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESSeptember 6, 2018
Mailing address2300 Children'S Plaza, No. 9, Children'S Memorial Hospital, Chicago, IL 60614-3363

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Wishon Radiological Medical Group Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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