MEDICARE: ASHLEY YEWON KIM LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	150.117334	IL

General Provider Information

NPI Number	:	1528922978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY YEWON KIM LSW

Provider Business Mailing Address
First Line	:	675 N NORTH CT STE 265
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 N NORTH CT STE 265
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8142
Country	:	US
Telephone Number	:	708-367-6783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ ASHLEY YEWON KIM LSW” Practice Location

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