Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristie L Shin, PA-C

Individual provider Physician Assistant · NPI 1861644734

Kristie L Shin, PA-C is a Physician Assistant in Peru, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1650 Midtown Rd
Peru, IL 61354-1274
Phone: (815) 223-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 385.002340 (IL)

Record details

NPI number1861644734
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2008
Last updated in NPPESSeptember 23, 2011

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