Active NPI
Young Choi
- Optician
- Niles, IL
National Provider Identifier
1316275258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 142680
- Practice address
- 8901 N Milwaukee Ave
#119
Niles, IL 60714-1888 - Phone
- (847) 966-1900
- Fax
- (847) 581-1300
- NPI assigned
- Dec 4, 2009
- Last updated
- Dec 4, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 142680 | IL | Primary |
Addresses
Primary practice location
8901 N Milwaukee Ave
#119
Niles, IL 60714-1888
Mailing address
8901 N Milwaukee Ave
#119
Niles, IL 60714-1888
Phone (847) 966-1900
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 |
|---|---|---|---|
| 142680 | IL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1316275258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 N MILWAUKEE AVE",
"address_2": "#119",
"city": "NILES",
"state": "IL",
"postal_code": "607141888",
"telephone_number": "847-966-1900",
"fax_number": "847-581-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 N MILWAUKEE AVE",
"address_2": "#119",
"city": "NILES",
"state": "IL",
"postal_code": "607141888",
"telephone_number": "847-966-1900",
"fax_number": "847-581-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "YOUNG",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-04",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "IL",
"license": "142680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.