Ahn, Mary
Ahn, Mary is an individual health care provider with primary practice located at 351 Delnor Dr , Geneva IL 60134-4220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ahn, Mary can be contacted via phone (630) 307-7799.Contact Information
Primary practice address
351 Delnor Dr
Geneva IL 60134-4220
Phone: (630) 307-7799
Fax: (630) 307-2277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-096682 | Illinois |
Profile Details
| NPI number | 1407809056 |
|---|---|
| LBN Legal business name | Ahn, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1407809056 | NPPES |
| Illinois | MEDICAID | 036096682 | |
| Illinois | Other | 206147 | |
| Illinois | Other | 206147228 |
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