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Individual
TAEK SOO SHIN
Active
Individual
TAEK SOO SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116597
IL
207R00000X
Internal Medicine Physician
Primary
S5269
TX
208M00000X
Hospitalist Physician
036116597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00855816
RR MEDICARE PTAN
IL
Enumeration date
05/04/2007
Last updated
04/16/2026
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