Provider Demographics
NPI:1285891424
Name:SHIM, CECILIA J (DO)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:J
Last Name:SHIM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3000 PARK LANE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-5620
Mailing Address - Country:US
Mailing Address - Phone:773-292-4800
Mailing Address - Fax:312-564-4059
Practice Address - Street 1:1340 S DAMEN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1169
Practice Address - Country:US
Practice Address - Phone:773-292-4800
Practice Address - Fax:312-564-4059
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2023-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT01132207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine