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

Sue Ann Kim

Individual provider Physical Therapist · NPI 1649389909

Sue Ann Kim is a Physical Therapist in Private Practice in Villa Park, Illinois. Qualified in 1980, 46 years ago. Practices with Easter Seals Dupage and the Fox Valley Region, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
46
Licensed in
IL
In the registry since
2006

Practice location Address checks out

830 S Addison Ave
Villa Park, IL 60181-2877
Phone: (630) 620-4433
Fax: (630) 620-1148
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1649389909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address830 S Addison Ave, Villa Park, IL 60181-2877

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Easter Seals Dupage And The Fox Valley Region — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Villa Park