SearchIllinoisPhysician Assistant

Noah Kim

NPI 1790489102 · on the registry since 2023 · sole proprietor

Practice

Address
890 Garfield Ave Ste 206
Libertyville, IL 60048
Phone
(847) 816-7495
Fax
(847) 816-7497
Organisation at this address
Libertyville Obgyn S.C.
Burton Miller, M.D., S.C.
Neil D. Pollock, M.D. S.C.
The Libertyville Surgeons, S C
Illinois Internal Medicine Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Additional practice sites

  • 3502 Green Bay Rd Apt 203, North Chicago, IL
  • 4309 W Medical Center Dr Ste B202, Mchenry, IL

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-26

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