Active NPI
Sooyeon Cha
- Pharmacist
- Waukegan, IL
National Provider Identifier
1033808092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051305489
- Practice address
- 709 N Green Bay Rd
Waukegan, IL 60085-2235 - Phone
- (847) 662-8091
- NPI assigned
- May 4, 2023
- Last updated
- May 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051305489 | IL | Primary |
Addresses
Primary practice location
709 N Green Bay Rd
Waukegan, IL 60085-2235
Mailing address
2550 Waterview Dr Unit 426
Northbrook, IL 60062-6368
Phone (774) 262-3880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051305489 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1033808092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WATERVIEW DR UNIT 426",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626368",
"telephone_number": "774-262-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N GREEN BAY RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852235",
"telephone_number": "847-662-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHA",
"first_name": "SOOYEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051305489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.