Individual
MR. SUNG CHUL AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2400 GLENWOOD AVE, SUITE 120, JOLIET, IL 60435-5474
(815) 741-2201
(815) 741-2325
Mailing address
2400 GLENWOOD AVE, SUITE 120, JOLIET, IL 60435-5474
(815) 741-2201
(815) 741-2285
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36113220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36113220
—
IL
Enumeration date
02/15/2006
Last updated
07/08/2007
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