Most Relevant Information
Provider Data
| NPI Number: | 1003360272 |
| Provider Name: | SHAWN LIN |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019030855 |
Most Important Dates
| Enumeration Date: | 08/05/2016 |
| Last Updated: | 03/07/2018 |
Provider Practice Location
3201 S WALLACE ST
CHICAGO
IL
606163501
Practice Location Phone/Fax
| Phone: | 3128427846 |
| Fax: |
Provider Mailing Location
3201 S WALLACE ST
CHICAGO
IL
606163501
Provider Mailing Phone/Fax
| Phone: | 6503026668 |
| Fax: |