Individual
KEVIN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W HARRISON ST STE 550, CHICAGO, IL 60612-3846
(312) 942-6631
Mailing address
1725 W HARRISON ST STE 550, CHICAGO, IL 60612-3846
(312) 942-6631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036162984
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036162984
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036162984
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
08/25/2025
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