Ahn, Tae-Jun

Ahn, Tae-Jun is an sole proprietor health care provider with primary practice located at 7319 North Ave , River Forest IL 60305-1220. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ahn, Tae-Jun can be contacted via phone (773) 989-2500.

Contact Information

Primary practice address
7319 North Ave River Forest IL 60305-1220
Phone: (773) 989-2500
Fax: (877) 834-6714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005105 Illinois

Profile Details

NPI number 1003923764
LBN Legal business name Ahn, Tae-Jun
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jun 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003923764 NPPES
Illinois Other P00631105 MEDICARE RAILROAD
Illinois MEDICAID 016005105 MEDICARE RAILROAD

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