Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 038011371 | IL |
Y | 111NR0200X | Radiology | 038011371 | IL |
Y | 213ER0200X | Radiology | 038011371 | IL |
NPI | 1831433481 |
---|---|
Provider Name | Dr. Munyeong Choi |
First Address | Lombard, IL 60148 |
Second Address | Oak Brook, IL 60523-1342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2012 |
Last Update Date | 04/06/2014 |