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

Jun Soo Shin, DDS

Individual provider Prosthodontics · NPI 1417615386

Jun Soo Shin, DDS is a Prosthodontics in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

855 W Madison St Apt 506
Chicago, IL 60607-3137
Phone: (808) 426-3816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.031809 (IL)
Prosthodontics Taxonomy 1223P0700X · Licence 021.003144 (IL)

Record details

NPI number1417615386
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address855 W Madison St Apt 506, Chicago, IL 60607-3137

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