Evan Hocheul Shin, DDS

Dentist · Rockford, IL

Individual Active NPI

NPI number 1477395523

Practice location

3020 Charles St
Rockford, IL 61108-1758
Phone
(815) 399-5181

Open in Google Maps

NPI record

NPI
1477395523
Entity type
Individual (Type 1)
Enumeration date
June 10, 2024
Last updated
July 6, 2026
Certified
July 6, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.035464 IL
Dentist 122300000X 12014482A IN

Mailing address

1425 Ellinwood Ave Unit 539
Des Plaines, IL 60016-5275
Phone
(734) 709-5350

About Dr. Shin

Evan Hocheul Shin, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3020 Charles St, Rockford, IL 61108-1758. The NPI number 1477395523 was assigned on June 10, 2024 and the record was last updated on July 6, 2026.

Dr. Shin lists 2 licenses in the registry: #019.035464 (IL) for Dentist; #12014482A (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Evan Hocheul Shin, DDS?

The NPI number is 1477395523.

What is the phone number of Dr. Shin?

The phone number listed for the practice location is (815) 399-5181.

Where is Dr. Shin located?

3020 Charles St, Rockford, IL 61108-1758.

What is the taxonomy code for Dr. Shin?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Rockford

All Dentist providers in Rockford, IL →