Provider Demographics
NPI:1568432037
Name:LIN, EI SHUN (MD)
Entity Type:Individual
Prefix:DR
First Name:EI
Middle Name:SHUN
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16B PROFESSIONAL PARK DR
Mailing Address - Street 2:LIN PAIN CLINIC, LTD
Mailing Address - City:MARYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62062
Mailing Address - Country:US
Mailing Address - Phone:618-288-0879
Mailing Address - Fax:618-288-3351
Practice Address - Street 1:16B PROFESSIONAL PARK DR
Practice Address - Street 2:LIN PAIN CLINIC, LTD
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062
Practice Address - Country:US
Practice Address - Phone:618-288-0879
Practice Address - Fax:618-288-3351
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist