Individual provider Active NPI

Soohee Choi, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1427549427
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017420 Issued in IL
Practice address
303 E Army Trail Rd Ste 100
Bloomingdale, IL 60108
Phone
(630) 980-8600
Fax
(630) 980-8650
NPI assigned
May 24, 2018
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209017420 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 100
Bloomingdale, IL 60108

Mailing address

303 E Army Trail Rd Ste 100
Bloomingdale, IL 60108-2140
Phone (630) 980-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address soohee.choi.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001154 IL Practitioner - Nurse Practitioner 9830447010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209017420ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary J Bortnick MD LTD CurrentSince Aug 1, 2018 Accepting new patients

Locations

303 E Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 893-3668

303 E Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 980-8600

Interoperability endpoints

  • Direct secure messaging: soohee.choi.1@380.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1427549427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-980-8600",
            "fax_number": "630-980-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-980-8600",
            "fax_number": "630-980-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SOOHEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soohee.choi.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "303 E Army Trail Rd Ste 100",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.