MEDICARE: SEHJIN HAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0123X	Facial Plastic Surgery Physician	036.124799	IL

General Provider Information

NPI Number	:	1114005600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEHJIN HAN MD

Provider Business Mailing Address
First Line	:	980 N MICHIGAN AVE STE 1100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4529
Country	:	US
Telephone Number	:	312-877-5522
Fax Number	:	312-877-5521

Provider Business Practice Location Address
First Line	:	980 N MICHIGAN AVE STE 1100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4529
Country	:	US
Telephone Number	:	312-877-5522
Fax Number	:	312-877-5521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/08/2022

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