Shim, Yong Taek

Shim, Yong Taek is an sole proprietor health care provider with primary practice located at 1620 Pebblewood Ln Suite 152, Naperville IL 60563-9075. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shim, Yong Taek can be contacted via phone (630) 717-7055.

Contact Information

Primary practice address
1620 Pebblewood Ln Suite 152 Naperville IL 60563-9075
Fax: (630) 717-7885
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019024865 Illinois

Profile Details

NPI number 1548313125
LBN Legal business name Shim, Yong Taek
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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