NPI 1003923764 · live from the CMS NPI Registry
Tae-Jun Ahn, D.P.M.
Podiatrist, Foot & Ankle Surgery in Glenview, IL. National Provider Identifier 1003923764, active.
NPI record
| NPI | 1003923764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1640 Pleasant Ln, Glenview, IL 60025 |
| Practice phone | 773-989-2500 |
| Enumerated | August 25, 2006 |
| Last updated | November 11, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016005105 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.