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Search › Illinois › Student in an Organized Health Care Education/Training Program

Justin Kim

NPI 1780529107 · on the registry since 2026 · sole proprietor

Practice

Address
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone
(618) 899-4600
Organisation at this address
Mid America Radiology Sc
Ernst Radiology Clinic, Inc
Deaconess Illinois Clinic, Inc
Mount Vernon Emergency Group Pc
Midwest Emergency Good Samaritan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2026-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois