RICHARD D. SHIN M.D. S.C. NPI 1104837079

NPI Information

NPI: 1104837079
Provider Name: RICHARD D. SHIN, M.D., S.C.
Classification: Surgery - 2086S0105X
Specialization: Surgery of the Hand
Entity Type: Organization
Address: 1225 W LAKE ST
MELROSE PARK, IL
ZIP 60160
Phone: (708) 938-7580

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NPI Details

RICHARD D. SHIN, M.D., S.C. is a surgery of the hand surgery in Melrose Park, IL. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. RICHARD D. SHIN, M.D., S.C. NPI is 1104837079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1225 W LAKE ST
MELROSE PARK, IL
ZIP 60160-039
Phone: (708) 938-7580
Fax: (708) 938-7381

The provider's authorized official is Richard D Shin .
The authorized official title is Physician / Owner and has the following contact phone number (630) 718-0200.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0105X	Surgery	Surgery of the Hand			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	545800	MEDICARE ID-TYPE UNSPECIFIED
2	536050	MEDICARE ID-TYPE UNSPECIFIED
3	545810	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	465900	MEDICARE ID-TYPE UNSPECIFIED
5	01622834	OTHER	ILLINOIS	BLUE CROSS / BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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