Provider Demographics
NPI:1952373037
Name:AHN, HELEN C (MD)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:C
Last Name:AHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E WOODFIELD RD STE 140
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5121
Mailing Address - Country:US
Mailing Address - Phone:847-278-1885
Mailing Address - Fax:
Practice Address - Street 1:1100 E WOODFIELD RD STE 140
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5121
Practice Address - Country:US
Practice Address - Phone:847-278-1885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036103730208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK08573Medicaid
ILK08573Medicaid
K08573Medicare ID - Type Unspecified