MEDICARE: SHIN Y WEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician		IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00036909	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	111282	OTHER	IL	HEALTH PARTNERS

General Provider Information

NPI Number	:	1447225198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIN Y WEE MD

Provider Business Mailing Address
First Line	:	1880 W WINCHESTER RD
Second Line	:	101
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5321
Country	:	US
Telephone Number	:	847-281-9543
Fax Number	:	847-281-9615

Provider Business Practice Location Address
First Line	:	1880 W WINCHESTER RD
Second Line	:	101
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5321
Country	:	US
Telephone Number	:	847-281-9543
Fax Number	:	847-281-9615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/08/2007

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Directions to “ SHIN Y WEE MD” Practice Location

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