Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Shin, MD

Individual provider Orthopaedic Surgery Physician · NPI 1699229435

Dr. Jason Shin, MD is a Sports Medicine in Bourbonnais, Illinois. Graduated from University of Alberta, Faculty of Medicine in 2010, 16 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Trained at
University of Alberta, Faculty of Medicine
Licensed in
IL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

400 Riverside Dr Ste 1600
Bourbonnais, IL 60914-5406
Phone: (815) 802-7090
Fax: (815) 802-7091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24600 W 127th St, Plainfield, IL 60585-9507 — (847) 982-9710

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036154780 (IL)

Record details

NPI number1699229435
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 10, 2016
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address2650 Ridge Ave, Evanston, IL 60201-1700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ALBERTA, FACULTY OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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