Sung Chul Ahn, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

36113220 Issued in IL

Practice address

2400 Glenwood Ave
Suite 120
Joliet, IL 60435-5474

Phone

(815) 741-2201

Fax

(815) 741-2325

NPI assigned

Feb 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Midwest Rehabilitation Associates LLC

  • Physical Medicine & Rehabilitation Physician
  • Joliet, IL
  • NPI 1750396586
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790759835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE",
            "address_2": "SUITE 120",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355474",
            "telephone_number": "815-741-2201",
            "fax_number": "815-741-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE",
            "address_2": "SUITE 120",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355474",
            "telephone_number": "815-741-2201",
            "fax_number": "815-741-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SUNG",
        "middle_name": "CHUL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "36113220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36113220",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Andrea Aguilera
• Julisa Aguirre Villagomez
• Rana Ahmad, RDN, LDN
• Mohammed N. Ahmed, M.D.
• Naila I Ahmed, MD
• Aim Psychological Services Corp
• Aj Medical 1, Inc
• Midhun Ajikumar, PA-C
• Kishor G Ajmere, MD
• Sabah Akbar, O.D.

• Physical Medicine & Rehabilitation Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.