Jae Myung Shim in Waukegan - General Practice
Jae Myung Shim - NPI 1669504221
Jae Myung Shim is a General Practice in Waukegan, Illinois. Jae Myung Shim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jae Myung Shim is 1669504221. The last update date is 2007-07-08.
Jae Myung Shim's current location address is 1800 Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8473364180 and fax number 8473364190. The mailing address for Jae Myung Shim is 1800 Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Myung Shim |
|---|---|
| Address | 1800 Grand Ave, Waukegan, Illinois |
| Phone Number | 8473364180 |
| Fax Number | 8473364190 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1669504221 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1800 Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600853582 |
| Phone Number | 8473364180 |
| Fax Number | 8473364190 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1004816 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jae Myung Shim by the Centers for Medicare & Medicaid Services (CMS)?
The Jae Myung Shim has been assigned the NPI (National Provider Identifier) 1669504221. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jae Myung Shim's facilities are geographically located?
The facilities of Jae Myung Shim are physically situated at the following location: 1800 Grand Ave, Waukegan, IL, 600853582.
What is Jae Myung Shim's area of expertise and its corresponding taxonomy classification?
The Jae Myung Shim's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669504221 to Jae Myung Shim?
The Centers for Medicare & Medicaid Services originally issued the 1669504221 to Jae Myung Shim on 2007-03-09.
As of what date were the Jae Myung Shim's details last updated?
The information pertaining to the Jae Myung Shim, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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