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1669504221
JAE MYUNG SHIM
WAUKEGAN, IL
NPI
1669504221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019024811)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Dr. JAE MYUNG SHIM DDS
1800 GRAND AVE
WAUKEGAN, IL 60085-3582
Phone number: 847-336-4180
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Mailing Address
Dr. JAE MYUNG SHIM DDS
1800 GRAND AVE
WAUKEGAN, IL 60085-3582
Phone number: 847-336-4180
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