Individual provider · Type 1 NPI

Kristie L. Shin, PA-C

Physician Assistant · Peru, IL

NPI number 1861644734 Active

Practice location

1650 Midtown Rd
Peru, IL 61354-1274

Mailing address

600 E 1st St
Spring Valley, IL 61362-1512

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X385.002340 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861644734

Kristie L. Shin, PA-C's National Provider Identifier is 1861644734, issued on Oct 22, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peru, IL. The record was last updated on Sep 23, 2011.