Individual
CHAE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1020
Mailing address
304 BLOSSOM, LAKEMOOR, IL 60051-6419
(224) 805-1940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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