Organization
KEE D SHIN, M.D., S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEE D SHIN (DOCTOR)
(630) 964-7006
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, SUITE 3D, DOWNERS GROVE, IL 60515-1552
(630) 964-7006
Mailing address
3825 HIGHLAND AVE, SUITE 3D, DOWNERS GROVE, IL 60515-1552
(630) 964-7006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036052151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052151
—
IL
Enumeration date
03/30/2010
Last updated
06/29/2012
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