Eun Jeong Ahn

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002473 Issued in IL

Practice address

430 Milwaukee Ave
Suite 203
Lincolnshire, IL 60069-3015

Phone

(847) 282-0279

Fax

(224) 352-2987

NPI assigned

Jul 26, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahn Orthodontics, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lincolnshire, IL
  • NPI 1811433642
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1790238707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "SUITE 203",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-282-0279",
            "fax_number": "224-352-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "SUITE 203",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-282-0279",
            "fax_number": "224-352-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "EUN JEONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Dermatology,LLC
• Advocate Health and Hospitals Corporation (Advocate Medical Group)
• Fatemeh Afshar, DDS
• Jamal Ahmad, M.D.
• Ahn Orthodontics, Inc
• Nicoletta Alexopoulos
• Jennifer Allen
• Gemmy H Ambatt, DPT
• Ameda, Inc.
• Christine C Andersen, M.A., CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.