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NICOLE SHIN YOUNG SHIN
NPI 1124964218
Student in an Organized Health Care Education/Training Program in Oak Park, IL

Active since April 28, 2026
855 LAKE ST APT 208, OAK PARK, IL 60301(708) 668-5659 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Shin Young Shin NPPES

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

NICOLE SHIN YOUNG SHIN (NPI 1124964218) is an individual student in an organized health care education/training program in Oak Park, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1124964218
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE SHIN YOUNG SHIN
Location Address855 LAKE ST APT 208Oak Park, IL 60301-1373
Mailing Address855 Lake St Apt 208Oak Park, IL 60301-1373 · (708) 668-5659
Phone(708) 668-5659
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1124964218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
855 LAKE ST APT 208, Oak Park, IL 60301
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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 Nicole Shin Shin's NPI number?

The NPI number for Nicole Shin Shin is 1124964218. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Nicole Shin Shin located?

Nicole Shin Shin practices at 855 Lake St Apt 208, Oak Park, IL 60301. The listed phone number is (708) 668-5659.

What is Nicole Shin Shin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Shin Shin was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.