Individual
MARY AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 N WINFIELD RD STE 2202, WINFIELD, IL 60190-1379
(630) 307-7799
(630) 307-2277
Mailing address
25 N WINFIELD RD STE 2202, WINFIELD, IL 60190-1379
(630) 307-7799
(630) 307-2277
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-096682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096682
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147228
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/17/2006
Last updated
11/13/2025
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