Ahn, Sung Chul
Ahn, Sung Chul is an sole proprietor health care provider with primary practice located at 2400 Glenwood Ave Suite 120, Joliet IL 60435-5474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Ahn, Sung Chul can be contacted via phone (815) 741-2201.Contact Information
Primary practice address
2400 Glenwood Ave Suite 120
Joliet IL 60435-5474
Phone: (815) 741-2201
Fax: (815) 741-2325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 36113220 | Illinois |
Profile Details
| NPI number | 1790759835 |
|---|---|
| LBN Legal business name | Ahn, Sung Chul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1790759835 | NPPES |
| Illinois | MEDICAID | 36113220 |
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