MEDICARE: DR. JOHN M HAHN M.D.

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	207W00000X	Ophthalmology Physician	036-124630	IL

General Provider Information

NPI Number	:	1548260961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN M HAHN M.D.

Provider Business Mailing Address
First Line	:	101 E MILLER RD
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-1252
Country	:	US
Telephone Number	:	815-625-4790
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 W 3RD ST
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-3503
Country	:	US
Telephone Number	:	815-625-4790
Fax Number	:

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/09/2012

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