Yamada, Shishin

Yamada, Shishin is an individual health care provider with primary practice located at 1890 Silver Cross Blvd Pavilion A, Suite 560, New Lenox IL 60451-9583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Yamada, Shishin can be contacted via phone (815) 714-9362.

Contact Information

Primary practice address
1890 Silver Cross Blvd Pavilion A, Suite 560 New Lenox IL 60451-9583
Phone: (815) 714-9362
Fax: (815) 846-1777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036112458 Illinois

Profile Details

NPI number 1962411793
LBN Legal business name Yamada, Shishin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated May 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962411793 NPPES
Illinois MEDICAID 036112458

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