Dr Michael Choi, MD | |
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
(217) 464-2017 | |
Not Available |
Full Name | Dr Michael Choi |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1800 E Lake Shore Dr, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013196617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 57375-20 (Wisconsin) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35.097026 (Ohio) | Primary |
Entity Name | Clearwater Pathology Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629138250 PECOS PAC ID: 9931131513 Enrollment ID: O20050902000601 |
Mailing Address | Practice Location Address |
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Dr Michael Choi, MD 4 Southbrooke Pl, Mount Zion, IL 62549-9708 Ph: (951) 836-0669 | Dr Michael Choi, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2017 |
Dr. Jonathan B Vasquez, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Mark C Clarke, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-5023 Fax: 217-876-5013 | |
Sue A Strayer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Drive, St Marys-decatur, Decatur, IL 62521 Phone: 217-464-2966 Fax: 217-464-3193 | |
Alan F Frigy, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 Fax: 217-464-3193 | |
Michael Andrew Sass, MD Pathology Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur Memorial Hospital, Decatur, IL 62526 Phone: 217-876-5011 Fax: 217-876-5013 | |
Dr. Cindy Mei Chy Hsieh, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1800 E. Lake Shore Drive, Decatur, IL 62521 Phone: 217-464-2966 |