MEDICARE: NANCY CHOI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1508132226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY CHOI M.D.

Provider Business Mailing Address
First Line	:	1615 W GREENLEAF AVE
Second Line	:	UNIT E
City	:	CHICAGO
State	:	IL
Zip	:	60626-3194
Country	:	US
Telephone Number	:	773-251-6780
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 W GREENLEAF AVE
Second Line	:	UNIT E
City	:	CHICAGO
State	:	IL
Zip	:	60626-3194
Country	:	US
Telephone Number	:	773-251-6780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	03/27/2012

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