MEDICARE: JIN SOL OH 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	208600000X	Surgery Physician	036149947	IL

General Provider Information

NPI Number	:	1962842658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIN SOL OH MD

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE # 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-982-3175
Fax Number	:	847-982-3394

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD STE 5000
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-618-3800
Fax Number	:	847-618-3809

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

Provider Enumeration Date	:	06/27/2013
Last Update Date	:	01/06/2026

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Directions to “ JIN SOL OH MD” Practice Location

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