SHIN I NAM M.D.
NPI 1083698831
Radiology - Diagnostic Radiology in Joliet, IL

Q: What is Shin Nam's NPI number?

The NPI number for Shin Nam is 1083698831. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is Shin Nam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Shin Nam was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2005

1200 MAPLE ROAD, JOLIET, IL 60432(815) 723-9351(815) 723-9823 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shin I Nam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIN I NAM M.D. (NPI 1083698831) is an individual diagnostic radiology provider in Joliet, Illinois, licensed in Illinois (036052538) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1083698831

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSHIN I NAMCredential: M.D.

Location Address1200 MAPLE ROADJoliet, IL 60432-1439

Mailing Address1200 Maple Road, Suite 3309Joliet, IL 60432-1439 · (815) 723-9351 · Fax (815) 723-9823

Phone(815) 723-9351

Fax(815) 723-9823

Sole ProprietorNo

Enumeration DateDecember 5, 2005

Last NPPES UpdateFebruary 9, 2009

✔ NPI 1083698831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IL · 036052538

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1200 MAPLE ROAD, Joliet, IL 60432

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Other Identifiers 5

Medicare UPIND13761

Medicare ID-Type UnspecifiedK15212IL

Medicaid036052538IL

Medicaid36-052538IL

Medicare UPIND13761IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL CHECCO D.O.

Emergency Medicine

1200 MAPLE ROAD, SILVER CROSS HOSPITAL
JOLIET, IL 60432

Will County (815) 740-1100

HABIB ABBASI M.D.

Emergency Medicine

1200 MAPLE ROAD, SILVER CROSS HOSPITAL
JOLIET, IL 60432

Will County (815) 740-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shin Nam's NPI number?

The NPI number for Shin Nam is 1083698831. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Shin Nam located?

Shin Nam practices at 1200 Maple Road, Joliet, IL 60432. The listed phone number is (815) 723-9351.

What is Shin Nam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Shin Nam was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.