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Contact Information

MARK T SHIMA, D. O.
2300 S 1ST ST
CHAMPAIGN, IL61820-7661
 Phone: 217-383-9400
 Fax: 217-383-9691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK T SHIMA · (Male)

NPI # 1669789327
Status Active
Credentials D. O.
Entity Individual
Enumeration date 09/01/2010
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036142552
Hospital affiliation(s)
  • CARLE FOUNDATION HOSPITAL - (Acute Care)
    611 WEST PARK STREET
    URBANA, IL 61801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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