Individual
DR. INBO SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # J517, CHICAGO, IL 60637-1447
(917) 470-4254
Mailing address
12 PARK AVE, RIVER FOREST, IL 60305-2038
(917) 470-4254
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
036123702
IL
208600000X
Surgery Physician
Primary
036.123702
IL
Other
Enumeration date
06/24/2009
Last updated
08/24/2009
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