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General NPI Number Information
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NPI Number | 1134529837
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Entity Type | Organization
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Legal Business Name | JENNY CHOI LCSW, LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 875 N MICHIGAN AVE SUITE 3100
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City | CHICAGO
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State | IL
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Zip | 60611-9998
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Country | US
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Telephone | 312-794-7800
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Fax | 312-794-7801
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Provider Business Mailing Address
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Address Line | 875 N MICHIGAN AVE SUITE 3100
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City | CHICAGO
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State | IL
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Zip | 60611-1803
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Country | US
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Telephone | 312-794-7800
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Fax | 312-794-7801
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Authorized Official
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Title or Position | BUSINESS AND MARKETING DIRECTOR
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Name | MR. JIM FRANCIS WARNER
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Credential |
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Telephone | 773-459-0852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | IL
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