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General NPI Number Information
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NPI Number | 1578881587
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Entity Type | Organization
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Legal Business Name | CHONG HO AHN MD SC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 1430 N ARLINGTON HEIGHTS RD STE 104
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City | ARLINGTON HTS
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State | IL
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Zip | 60004-4830
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Country | US
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Telephone | 847-253-5985
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Fax | 847-253-0306
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Provider Business Mailing Address
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Address Line | 1430 N ARLINGTON HEIGHTS RD STE 104
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City | ARLINGTON HTS
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State | IL
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Zip | 60004-4830
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Country | US
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Telephone | 847-253-5985
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Fax | 847-253-0336
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHONG HO AHN
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Credential | M.D.
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Telephone | 847-253-5985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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