Chen, Shin

Chen, Shin is an individual health care provider with primary practice located at 1003 Logan Ave , Belvidere IL 61008-3955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chen, Shin can be contacted via phone (815) 547-1110.

Contact Information

Primary practice address
1003 Logan Ave Belvidere IL 61008-3955
Fax: (815) 544-1594
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036056193 Illinois

Profile Details

NPI number 1437139896
LBN Legal business name Chen, Shin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437139896 NPPES
Illinois MEDICAID 036056193

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