Provider Demographics
NPI:1568574333
Name:DR EDWARD H SHIM DDS LTD
Entity Type:Organization
Organization Name:DR EDWARD H SHIM DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:HYOSHIN
Authorized Official - Last Name:SHIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-437-2535
Mailing Address - Street 1:2010 S ARLINGTON HTS RD
Mailing Address - Street 2:STE 218
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005
Mailing Address - Country:US
Mailing Address - Phone:847-437-2535
Mailing Address - Fax:847-437-2545
Practice Address - Street 1:2010 S ARLINGTON HTS RD
Practice Address - Street 2:STE 218
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-437-2535
Practice Address - Fax:847-437-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty