THOMAS A SHIN (NPI# 1386852010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386852010 |
| Entity Type | Individual |
| Full Name | THOMAS A SHIN |
| Credential | MD |
| Practice Address |
430 Warrenville Rd Lisle IL 60532-1348 |
| Mailing Address |
1860 Payshere Cir Chicago IL 60674-2807 |
| Practice Telephone | 6304326745 |
| Practice Fax Number | 6304326608 |
| Mailing Telephone | 2198369024 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036119760 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
01064613A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0101236094 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154687218 | Thomas Shin | Dentist | 6845 Elm St Ste 305, Mc Lean, VA 22101-3834 | 2012-04-03 |
| 1063901437 | Thomas Shin | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-05-01 |
| 1326241266 | Thomas Woo Shin | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2007-06-07 |
| 1487686861 | Thomas Shin | Obstetrics & Gynecology | 161 Fort Washington Ave, New York, NY 10032-3729 | 2006-07-07 |
| Street Address |
430 WARRENVILLE RD |
| City | LISLE |
| State | IL |
| Zip Code | 60532-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543199 | Midori Takeyasu Par | Emergency Medicine | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2005-07-22 |
| 1508408345 | Jennifer M Jump | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2019-10-14 |
| 1932768025 | Arpita Patel | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2019-06-11 |
| 1720644966 | Kristiana Burlini | Physical Therapist | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2019-05-14 |
| 1184108185 | Ashley Marie Hoffman | Physical Therapist | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2018-09-17 |
| 1477053197 | Sabrina Nichole Dimaso | Genetic Counselor, MS | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2018-02-19 |
| 1730690678 | Ashley Peters | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2017-10-18 |
| 1588083679 | Jigar Thakkar | Pharmacist | 430 Warrenville Rd, Suite 215, Lisle, IL 60532-1348 | 2014-04-16 |
| 1558604504 | Du Page Medical Group Ltd | Pharmacy | 430 Warrenville Rd, 215, Lisle, IL 60532-1348 | 2013-03-28 |
| 1528309291 | Dupage Medical Group Ltd | Clinical Medical Laboratory | 430 Warrenville Rd, Ste 210, Lisle, IL 60532-1348 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
| 1982119319 | Vein and Vascular Centers, Sc | Radiology | 7 N Grant St Ste 1, Hinsdale, IL 60521-3366 | 2017-12-07 |
| 1114438769 | Advanced Midwest Interventional Radiology, LLC | Radiology | 1890 Silver Cross Blvd Ste 455, New Lenox, IL 60451-9546 | 2017-10-21 |
| 1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
| 1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
| 1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
| 1417240102 | Sameul Hanif | Radiology | 7808 W College Dr Ste 1se, Palos Heights, IL 60463-1095 | 2011-05-27 |
| 1649563842 | Alex Edward Heaton | Radiology | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2011-05-20 |
| 1932426863 | Lifeline Vascular Access Network, LLC | Radiology | Three Hawthorn Parkway, Suite 410, Vernon Hills, IL 60061-1450 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.