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General NPI Number Information
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NPI Number | 1598577124
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Entity Type | Organization
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Legal Business Name | CS PACS 3 IL, S.C.
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1001 N GREENWOOD AVE
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City | PARK RIDGE
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State | IL
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Zip | 60068-2054
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Country | US
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Telephone | 847-692-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 NW 136TH AVENUE BLDG H, SUITE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2857
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Country | US
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Telephone | 865-500-1325
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT/DIRECTOR
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Name | DR. ELMER CHOI
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Credential | MD
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Telephone | 865-693-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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