Individual
SHIN JOH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 W 6TH ST, STREATOR, IL 61364-2899
(815) 673-5533
(815) 673-2554
Mailing address
104 W 6TH ST, STREATOR, IL 61364-2899
(815) 673-5533
(815) 673-2554
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
IL
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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