Individual
DR. TAE-JUN AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1640 PLEASANT LN, GLENVIEW, IL 60025-1847
(773) 989-2500
(877) 834-6714
Mailing address
1640 PLEASANT LN, GLENVIEW, IL 60025-1847
(773) 989-2500
(877) 834-6714
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005105
—
IL
01
—
P00631105
MEDICARE RAILROAD
IL
Enumeration date
08/25/2006
Last updated
11/11/2024
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