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SUSIE SHIN
NPI 1225715139
Dentist in Chicago, IL

Active since July 03, 2023
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 20, 2025, Jul 3, 2023 (2 updates tracked since 2023).

About Susie Shin NPPES

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

SUSIE SHIN (NPI 1225715139) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.034365) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1225715139
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUSIE SHIN
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address717 S Clark St Unit 803Chicago, IL 60605-1798
Phone(312) 569-8387
Sole ProprietorNo
Enumeration DateJuly 3, 2023
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 11, 2025
✔ NPI 1225715139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.034365
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
820 S DAMEN AVE, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES 20

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

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

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 Susie Shin's NPI number?

The NPI number for Susie Shin is 1225715139. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Susie Shin located?

Susie Shin practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Susie Shin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Susie Shin accept?

Health plans from Humana and Renaissance Dental list Susie Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susie Shin was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.