Doctor Name: | BONGYEON SHIN |
NPI Number: | 1558720946 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070021571 |
Business Practice Address: | 202 S Route 31 Mchenry, IL - 60050 |
Business Phone Number: | 8153441192 |
Business Fax Number: | 7735856201 |
Mailing Address: | 1283 W Dundee Rd, BUFFALO GROVE |
State: | IL |
Postal Code: | 600894009 |
Phone Number: | 8476329919 |
Fax Number: | 7735856201 |
NPI Enumeration Date: | 02/15/2016 |
NPI Last Update Date: | 02/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070021571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |