SHARON SHIM MD
NPI 1740999390
Student in an Organized Health Care Education/Training Program in Park Ridge, IL

Active since November 22, 2022PECOS Enrolled
2117 GLENVIEW AVE, PARK RIDGE, IL 60068(224) 388-2162 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sharon Shim Md NPPES

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

SHARON SHIM MD (NPI 1740999390) is an individual student in an organized health care education/training program in Park Ridge, Illinois and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740999390
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHARON SHIMCredential: MD
Location Address2117 GLENVIEW AVEPark Ridge, IL 60068-1719
Mailing Address2117 Glenview AvePark Ridge, IL 60068-1719 · (224) 388-2162
Sole ProprietorNo
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 3, 2022
NPI 1740999390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

2117 GLENVIEW AVE, Park Ridge, IL 60068

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sharon Shim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740999390, enumerated as an "individual" on November 22, 2022.

The provider is located at 2117 GLENVIEW AVE PARK RIDGE, IL 60068 and the phone number is (224) 388-2162.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.