Individual
DR. BOB YEON SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 W 145TH ST APT 605, NEW YORK, NY 10039-3095
(630) 779-5029
Mailing address
330 W 145TH ST APT 605, NEW YORK, NY 10039-3095
(630) 779-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036089183
IL
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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