Most Relevant Information
Provider Data
| NPI Number: | 1003423633 |
| Provider Name: | ANDREW SHIN |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019.032865 |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
2702 W TOUHY AVE
CHICAGO
IL
606453008
Practice Location Phone/Fax
| Phone: | 7733387799 |
| Fax: |
Provider Mailing Location
8 REBA CT
MORTON GROVE
IL
600533342
Provider Mailing Phone/Fax
| Phone: | 2245224908 |
| Fax: |