Jae Myung Shim, DDS
General Practice Dentistry · Waukegan, IL
NPI number
1669504221
Practice location
1800 Grand AveWaukegan, IL 60085-3582
- Phone
- (847) 336-4180
- Fax
- (847) 336-4190
NPI record
- NPI
- 1669504221
- Entity type
- Individual (Type 1)
- Enumeration date
- March 9, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
— | IL |
About Dr. Shim
Jae Myung Shim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1800 Grand Ave, Waukegan, IL 60085-3582. The NPI number 1669504221 was assigned on March 9, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Jae Myung Shim, DDS?
The NPI number is 1669504221.
What is the phone number of Dr. Shim?
The phone number listed for the practice location is (847) 336-4180.
Where is Dr. Shim located?
1800 Grand Ave, Waukegan, IL 60085-3582.
What is the taxonomy code for Dr. Shim?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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.
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