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1083698831
SHIN I NAM
JOLIET, IL
NPI
1083698831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036052538)
Enumeration Date
2005-12-05
Last Update Date
2009-02-09
Business Address
-- SHIN I NAM M.D.
1200 MAPLE ROAD
JOLIET, IL 60432-1439
Phone number: 815-723-9351
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Mailing Address
-- SHIN I NAM M.D.
1200 MAPLE ROAD SUITE 3309
JOLIET, IL 60432-1439
Phone number: 815-723-9351
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