SHIN I NAM (NPI# 1083698831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083698831 |
| Entity Type | Individual |
| Full Name | SHIN I NAM |
| Credential | M.D. |
| Practice Address |
1200 Maple Road Joliet IL 60432-1439 |
| Mailing Address |
1200 Maple Road Suite 3309 Joliet IL 60432-1439 |
| Practice Telephone | 8157239351 |
| Practice Fax Number | 8157239823 |
| Mailing Telephone | 8157239351 |
| Mailing Fax Number | 8157239823 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2009-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036052538 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036052538 | 05 | |
| IL | 36-052538 | 05 |
| Street Address |
1200 MAPLE ROAD |
| City | JOLIET |
| State | IL |
| Zip Code | 60432-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832835 | Habib Abbasi | Emergency Medicine | 1200 Maple Road, Silver Cross Hospital, Joliet, IL 60432 | 2006-06-23 |
| 1811923675 | Daniel Checco | Emergency Medicine | 1200 Maple Road, Silver Cross Hospital, Joliet, IL 60432 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| Find all providers in zip 60432 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841423696 | Advanced Medical Imaging of Joliet, LLC | Radiology | 330 N Madison Ave, Joliet, IL 60435-6565 | 2009-08-27 |
| 1760524110 | Harry R Platt | Radiology | 620 Wildwood Dr, Joliet, IL 60431-4891 | 2007-02-13 |
| 1831280494 | Brian Michael Fagan | Radiology | Joliet Radiological Services Corp Provena St. Joesph Me, 333 N Madison St, Joliet, IL 60435 | 2006-09-27 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1639107428 | Michael G Arthofer | Radiology | 333 N Madison St, Joliet Radiological Service Corp Provena St Joseph Med, Joliet, IL 60435 | 2006-06-29 |
| 1871561621 | Salvador A. Rinella | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2006-03-09 |
| 1669602660 | Noah Robert Schwind | Radiology | 333 Madison St, Joliet, IL 60435-8200 | 2009-07-24 |
| 1437343696 | Gregory D Price | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2007-08-30 |
| 1144379363 | John Scott Groch | Radiology | 333 Madison, St Joseph Medical Center, Joliet, IL 60435-8233 | 2007-01-09 |
| 1659440774 | Robert Earl Boyd IIi | Radiology | 333 North Madison Street, Provena Saint Joseph Medical Center, Joliet, IL 60435 | 2006-11-06 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.