Ahn, Joon S
Ahn, Joon S is an individual health care provider with primary practice located at 4121 Veterans Memorial Dr , Mount Vernon IL 62864-6262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Ahn, Joon S can be contacted via phone (618) 242-3778.Contact Information
Primary practice address
4121 Veterans Memorial Dr
Mount Vernon IL 62864-6262
Phone: (618) 242-3778
Fax: (618) 242-2551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036104840 | Illinois |
Profile Details
| NPI number | 1083681027 |
|---|---|
| LBN Legal business name | Ahn, Joon S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083681027 | NPPES |
| Illinois | MEDICAID | 036104840 |
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