Dr. Mark T. Shima
Surgery of the Hand
2300 S 1st St
Champaign
, Illinois 61820-7661
Dr. Mark T. Shima
Surgery of the Hand
2300 S 1st St
Champaign
, Illinois 61820-7661
(217) 383-6941
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Mark T. Shima
- 611 W. Park St. Bwpc
- Urbana, IL
- Zip : 61801-2500
- Phone : (217) 383-6941
Second Address
- Dr. Mark T. Shima
- 2300 S 1st St
- Champaign, IL
- Zip : 61820-7661
- Fax : (217) 383-9691
- Phone : (217) 383-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | 036142552 | IL |
National Provider Identifier
| NPI | 1669789327 |
|---|---|
| Provider Name | Dr. Mark T. Shima |
| First Address | Urbana, IL 61801-2500 |
| Second Address | Champaign, IL 61820-7661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2010 |
| Last Update Date | 09/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.