| Dr Jason Shin, MD | |
|
400 Riverside Dr Ste 1600, Bourbonnais, IL 60914-5406 | |
| (815) 802-7090 | |
| (815) 802-7091 |
| Full Name | Dr Jason Shin |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 400 Riverside Dr Ste 1600, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699229435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036154780 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Health System | 3274434717 | 157 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Shin, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: () - | Dr Jason Shin, MD 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914-5406 Ph: (815) 802-7090 |
William Mosenthal, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 | |
Vishal Desai, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 | |
Dr. Joshua Devereux Miller, MD, PHD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 | |
Dr. Taruna Madhav Crawford, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 | |
Holly Brockman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 | |
Majd Tarabichi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 |