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General NPI Number Information
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NPI Number | 1114094042
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Entity Type | Individual
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Provider Name | JULIA JUNG CHOO MD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 2000 OGDEN AVE RUSH COPLEY MEDICAL CENTER
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City | AURORA
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State | IL
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Zip | 60504-7222
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Country | US
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Telephone | 630-978-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 510 W ERIE ST #806
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City | CHICAGO
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State | IL
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Zip | 60654-6456
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Country | US
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Telephone | 312-787-6825
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A90539
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 036108007
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License Number State | IL
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