Individual
JI HYUN SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6560 W FULLERTON AVE UNIT C106, CHICAGO, IL 60707-3439
(773) 385-6700
Mailing address
5345 SEPULVEDA BLVD APT 122, SHERMAN OAKS, CA 91411-3460
(818) 480-8142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032863
IL
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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