Ahn, Phillip

Ahn, Phillip is an sole proprietor health care provider with primary practice located at 4321 S Pulaski Rd , Chicago IL 60632-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahn, Phillip can be contacted via phone (773) 585-2410.

Contact Information

Primary practice address
4321 S Pulaski Rd Chicago IL 60632-4008
Phone: (773) 585-2410
Fax: (773) 284-0913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036089338 Illinois

Profile Details

NPI number 1376527879
LBN Legal business name Ahn, Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Mar 29th, 2016 - about 9 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 1376527879 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036089338 / 02 BCBS OF IL
Illinois Other 205737 BCBS OF IL

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