Nam, Shin I

Nam, Shin I is an individual health care provider with primary practice located at 1200 Maple Road , Joliet IL 60432-1439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nam, Shin I can be contacted via phone (815) 723-9351.

Contact Information

Primary practice address
1200 Maple Road Joliet IL 60432-1439
Phone: (815) 723-9351
Fax: (815) 723-9823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036052538 Illinois

Profile Details

NPI number 1083698831
LBN Legal business name Nam, Shin I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 9th, 2009 - about 15 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 1083698831 NPPES
Illinois MEDICAID 036052538
Illinois MEDICAID 36-052538

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