Individual provider · Type 1 NPI

Nicole Shin Young Shin

Student in an Organized Health Care Education/Training Program · Oak Park, IL

NPI number 1124964218 Active

Practice location

855 Lake St Apt 208
Oak Park, IL 60301-1373

Call (708) 668-5659 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1124964218

Nicole Shin Young Shin's National Provider Identifier is 1124964218, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Park, IL. The record was last updated on Apr 28, 2026.