Ahn, Nicholas Cho

Ahn, Nicholas Cho is an individual health care provider with primary practice located at 751 N Rutledge St Suite 1100, Springfield IL 62702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ahn, Nicholas Cho can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Suite 1100 Springfield IL 62702
Fax: (217) 545-4735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301114315 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125.064175 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-141124 Illinois

Profile Details

NPI number 1376983346
LBN Legal business name Ahn, Nicholas Cho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2013
Last updated Jun 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376983346 NPPES
Illinois MEDICAID 036141124

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