Thomas A Shin, MD
Radiology, Vascular & Interventional Radiology in Lisle, IL. Individual provider (NPI-1).
NPI number1386852010
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1386852010
- Entity type
- Individual (NPI-1)
- Name
- Thomas A Shin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2007
- Last updated
- May 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 036119760 | IL | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 0101236094 | VA | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 01064613A | IN |
Practice location
430 Warrenville RdLisle, IL 60532-1348
Phone 630-432-6745 · Fax 630-432-6608
Mailing address
1860 Payshere CirChicago, IL 60674-2807
Phone 219-836-9024
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