Shin Joh, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Streator, Illinois. His current practice location is
104 W 6th St, Streator, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 673-5533.
Shin Joh is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023081882.
Physician's Profile
Full Name | Shin Joh |
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Gender | Male |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 104 W 6th St, Streator, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023081882
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5294026134
- Enrollment ID: I20160623000595
Medical Identifiers
Medical identifiers for Shin Joh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023081882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shin Joh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shin Joh, MD 104 W 6th St, Streator, IL 61364-2899 Ph: (815) 673-5533 | Shin Joh, MD 104 W 6th St, Streator, IL 61364-2899 Ph: (815) 673-5533 |
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