# RICHARD D. SHIN, M.D., S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104837079
- **Authorized official:** DR. RICHARD D SHIN M.D. (PHYSICIAN / OWNER)
- **Authorized official phone:** (630) 718-0200

## Contact information

- **Practice address:** 1225 W LAKE ST, MELROSE PARK, IL 60160-4039
- **Practice address phone:** (708) 938-7580
- **Practice address fax:** (708) 938-7381
- **Mailing address:** 1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
- **Mailing address phone:** (630) 718-0200
- **Mailing address fax:** (630) 718-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 11/12/2007