Individual
JAE SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 PFINGSTEN RD, GLENVIEW, IL 60026-1301
(847) 657-1756
Mailing address
2100 PFINGSTEN RD, GLENVIEW, IL 60026-1301
(847) 657-1756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298574
IL
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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