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DR. JAE MYUNG SHIM DDS
NPI 1669504221
Dentist - General Practice in Waukegan, IL

Active since March 09, 2007
1800 GRAND AVE, WAUKEGAN, IL 60085(847) 336-4180(847) 336-4190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jae Myung Shim Dds NPPES

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

DR. JAE MYUNG SHIM DDS (NPI 1669504221) is an individual general practice provider in Waukegan, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1669504221
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAE MYUNG SHIMCredential: DDS
Location Address1800 GRAND AVEWaukegan, IL 60085-3582
Mailing Address1800 Grand AveWaukegan, IL 60085-3582 · (847) 336-4180 · Fax (847) 336-4190
Phone(847) 336-4180
Fax(847) 336-4190
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669504221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1800 GRAND AVE, Waukegan, IL 60085
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Other Identifiers 1

Medicaid1004816IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

WILLIAM EDWARDS CAPE MD
Internal Medicine (Cardiovascular Disease)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 360-8800
DR. VU ANH PHAN DDS
Dentist (General Practice)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 336-4155
GRAND DENTAL CARE, LTD
Dentist (General Practice)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 336-4180
DR. WILLIAM ORVILLE JANES MD
Internal Medicine
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 360-8800
HEALTH REACH, INC
Clinic/Center
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 360-8800
PADS LAKE COUNTY INC.
Clinic/Center (Adult Mental Health)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 689-4357
MANOOCHEHR SHARIFI MD
Pediatrics
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 223-2905

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 Jae Shim's NPI number?

The NPI number for Jae Shim is 1669504221. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Jae Shim located?

Jae Shim practices at 1800 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 336-4180.

What is Jae Shim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jae Shim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jae Shim 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 Jae Shim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.