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Contact Information

TAE JUN AHN, DPM
1640 PLEASANT LN
GLENVIEW, IL60025-1847
 Phone: 773-989-2500
 Fax: 877-834-6714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TAE JUN AHN · (Male)

NPI # 1003923764
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/25/2006
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016005105
  • IL Medicaid 016005105
  • IL Other P00631105 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
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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