| Soon Ja Choi, Md | |
|
2s631 State Route 59 Warrenville IL 60555-1441 | |
| (630) 393-3400 | |
| (630) 393-7589 |
| Full Name | Soon Ja Choi, Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2s631 State Route 59, Warrenville, Illinois |
| Authorized Official Name and Position | Soon Ja Choi Kim (PRESIDENT) |
| Authorized Official Contact | 6303933400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soon Ja Choi, Md 2s631 State Route 59 Warrenville IL 60555-1441 Ph: (630) 393-3400 | Soon Ja Choi, Md 2s631 State Route 59 Warrenville IL 60555-1441 Ph: (630) 393-3400 |
| NPI Number | 1861773095 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861773095 | NPI | - | NPPES |
| 036049941 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036049941 (Illinois) | Primary |
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