Healthcare Provider Details

I. General information

NPI: 1609787175
Provider Name (Legal Business Name): ELAINE EUN JU CHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20710 CENTURY BLVD UNIT 210
GERMANTOWN MD
20874-1599
US

IV. Provider business mailing address

20710 CENTURY BLVD UNIT 210
GERMANTOWN MD
20874-1599
US

V. Phone/Fax

Practice location:
  • Phone: 972-523-6470
  • Fax:
Mailing address:
  • Phone: 972-523-6470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: