Kee D Shin, M.D., S.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

036052151 Issued in IL

Legal business name

KEE D SHIN, M.D., S.C

Practice address

3825 Highland Ave
Suite 3D
Downers Grove, IL 60515-1552

Phone

(630) 964-7006

NPI assigned

Mar 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kee D Shin

Title

Doctor

Phone

(630) 964-7006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anil Vamsi Doppalapudi, M.D

  • Internal Medicine Physician
  • Downers Grove, IL
  • NPI 1023104015
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1811212160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 3D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-964-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 3D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-964-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEE D SHIN, M.D., S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "KEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-964-7006",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036052151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah L Katula, RN, APN
• Gurinder Kaur
• Navreet Kaur, D.D.S.
• Vadim Kazlovich, RSA
• Margaret Kearney
• Patrick Colin Keefe
• John E Keenan, DDS
• Keeping Safe Social Services
• Karen Ann Kehbein, O.D.
• Gabriella Grace Keidl, PA-S

• Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.