Provider Demographics
NPI:1568631208
Name:LIN, SHU MIN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SHU
Middle Name:MIN
Last Name:LIN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 PINE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5900
Mailing Address - Country:US
Mailing Address - Phone:630-910-3562
Mailing Address - Fax:630-910-3562
Practice Address - Street 1:1533 PINE VIEW CT
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5900
Practice Address - Country:US
Practice Address - Phone:630-910-3562
Practice Address - Fax:630-910-3562
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist