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1023081882
SHIN JOH
STREATOR, IL
NPI
1023081882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL 036051934)
Enumeration Date
2006-02-10
Last Update Date
2007-07-08
Business Address
-- SHIN JOH M.D.
104 W 6TH ST
STREATOR, IL 61364-2899
Phone number: 815-673-5533
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Mailing Address
-- SHIN JOH M.D.
104 W 6TH ST
STREATOR, IL 61364-2899
Phone number: 815-673-5533
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