DR. HANG-JIN H SHIN (NPI# 1689638702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689638702 |
| Entity Type | Individual |
| Full Name | DR. HANG-JIN H SHIN |
| Credential | M.D. |
| Practice Address |
11560 S Kedzie Ave Ste 100 Merrionette Park IL 60803-4517 |
| Mailing Address |
13011 S 104th Ave Ste 100 Palos Park IL 60464-1508 |
| Practice Telephone | 7088241114 |
| Practice Fax Number | 7088249341 |
| Mailing Telephone | 7084783600 |
| Mailing Fax Number | 7084783552 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036097618 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE INDIVIDUAL PTAN | L64345 | 01 |
| IL | MEDICARE INDIVIDUAL PTAN | L68230 | 01 |
| IL | BLUECROSS BLUE SHIELD | 01621208 | 01 |
| IL | 036097618 | 05 | |
| IL | RAILROAD MEDICARE GROUP PTAN NUMBER | CN2703 | 01 |
| IL | MEDICARE INDIVIDUAL PTAN | L77498 | 01 |
| IL | RAILROAD MEDICARE COOK | 060048992 | 01 |
| IL | RAILROAD MEDICARE KANKAKE | 060058090 | 01 |
| IL | GROUP NPI | 1508810086 | 01 |
| IL | MEDICARE GROUP | 236551 | 01 |
| IL | RAILROAD MEDICARE WILL | 060053213 | 01 |
| IL | MEDICARE GROUP | 236550 | 01 |
| IL | MEDICARE GROUP | 416810 | 01 |
| IL | RAILDOAD MEDICARE GROUP PTAN NUMBER | CG1672 | 01 |
| IL | RAILROAD MEDICARE GROUP PTAN NUMBER | CD8033 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2338 New St, Blue Island, IL 604062402 | 7088241114 | 7088249341 |
| 3231 Euclid Ave Ste 201, Berwyn, IL 604023472 | 7087832055 | 7087832181 |
| Street Address |
11560 S KEDZIE AVE STE 100 |
| City | MERRIONETTE PARK |
| State | IL |
| Zip Code | 60803-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457315624 | Sean P Tierney | Internal Medicine | 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 | 2006-04-14 |
| 1447450788 | James Paul Sur | Internal Medicine | 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 | 2007-07-24 |
| 1033173125 | Kurt W Erickson | Internal Medicine | 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699173013 | American Medical Lab, Ltd | Clinical Medical Laboratory | 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 | 2014-12-17 |
| 1225387574 | A Touch of Class Dentistry II | Dentist | 12033 S. Pulaski Road, Alsip, IL 60803 | 2012-08-31 |
| 1841431657 | George P. Danos Inc | Dentist | 5101 W 111th St, Alsip, IL 60803 | 2009-03-09 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1841203650 | Alsip Dental Arts PC | Dentist | 11107 South Lawler, Alsip, IL 60803 | 2006-08-14 |
| 1477500932 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 12001 S Pulaski Rd, Alsip, IL 60803 | 2006-05-30 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1467064360 | Yash Desai | Pharmacist | 12290 S Pulaski Rd, Alsip, IL 60803 | 2020-08-20 |
| 1609293539 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3243 W 115th St, Merrionette Park, IL 60803 | 2014-03-28 |
| 1114357092 | Abdul Hussein Darki | Pediatrics | 11808 S Pulaski Rd, Alsip, IL 60803 | 2013-11-14 |
| Find all providers in zip 60803 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457315624 | Sean P Tierney | Internal Medicine | 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 | 2006-04-14 |
| 1033173125 | Kurt W Erickson | Internal Medicine | 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
| City | MERRIONETTE PARK |
| Zip Code | 60803 |
Please comment or provide details below to improve the information on DR. HANG-JIN H SHIN.
| 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.