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General NPI Number Information
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NPI Number | 1356622112
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Entity Type | Organization
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Legal Business Name | CHOI VISION ASSOCIATES
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 2879 W 95TH ST SUITE 179
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City | NAPERVILLE
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State | IL
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Zip | 60564-9007
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Country | US
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Telephone | 630-305-0735
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Fax |
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Provider Business Mailing Address
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Address Line | 2879 W 95TH ST SUITE 179
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City | NAPERVILLE
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State | IL
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Zip | 60564-9007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALVIN CHOI
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Credential | O.D.
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Telephone | 630-305-0735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046-009585
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License Number State | IL
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