Individual
JIN AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 W. CURTIS RD, FAMILY MEDICINE, CHAMPAIGN, IL 61822-9678
(217) 365-6201
(217) 326-4003
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036137206
IL
207Q00000X
Family Medicine Physician
125.062482
IL
Other
Enumeration date
08/16/2012
Last updated
04/28/2015
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