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1902894033
JONATHAN SHIN
CHICAGO, IL
NPI
1902894033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 036106780)
Enumeration Date
2005-10-12
Last Update Date
2022-10-24
Business Address
JONATHAN SHIN
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
JONATHAN SHIN
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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