Healthcare Provider Details

I. General information

NPI: 1245876408
Provider Name (Legal Business Name): JOHN LEE CHOI LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 CHURCH ST STE 302
EVANSTON IL
60201-5912
US

IV. Provider business mailing address

7700 OLD GEORGETOWN RD STE 675
BETHESDA MD
20814-6100
US

V. Phone/Fax

Practice location:
  • Phone: 847-492-1938
  • Fax:
Mailing address:
  • Phone: 240-688-3021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC17171
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.015115
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: