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Dr. Jae Myung Shim, DDS
General Practice Dentistry in Waukegan, Illinois
NPI 1669504221

Jae Myung Shim is a General Practice Dentistry based in Waukegan, IL and is specialized in General Practice. Jae Myung Shim practices in Waukegan, IL and has the professional credentials of DDS. The NPI Number for Jae Myung Shim is 1669504221 and holds a License No. (Illinois).

The current practice location address for Jae Myung Shim is 1800 Grand Ave, Waukegan, IL and can be reached out via phone at 847-336-4180 and via fax at 847-336-4190.

Location: 1800 Grand Ave, Waukegan, IL, 60085-3582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669504221
Provider Name
Jae Myung Shim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1800 Grand Ave, Waukegan, IL, 60085-3582
Phone Number
847-336-4180
Fax Number
847-336-4190
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1004816 05 IL
institution
Provider Business Practice Location Address Details
Address
1800 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-3582
Phone Number
847-336-4180
Fax Number
847-336-4190
person
Provider Business Mailing Address Details
Address
1800 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-3582
Phone Number
847-336-4180
Fax Number
847-336-4190
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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