| NPI | 1407996622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C SHIN Physician 773-935-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-10-05 |