Individual provider Active NPI

Hanna Ro Choi, M.D

  • Family Medicine Physician
  • Warrenville, IL
National Provider Identifier
1487742441
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-101392 Issued in IL
Practice address
28375 Davis Pkwy
Suite 905
Warrenville, IL 60555-3030
Phone
(630) 836-1616
Fax
(630) 836-1612
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-101392 IL Primary

Addresses

Primary practice location

28375 Davis Pkwy
Suite 905
Warrenville, IL 60555-3030

Mailing address

28375 Davis Pkwy
Suite 905
Warrenville, IL 60555-3030
Phone (630) 836-1616

Other names 1

  • Dr. Hanna Ro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-101392ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye & Facial Clinic PastSince Sep 19, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1487742441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28375 DAVIS PKWY",
            "address_2": "SUITE 905",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553030",
            "telephone_number": "630-836-1616",
            "fax_number": "630-836-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28375 DAVIS PKWY",
            "address_2": "SUITE 905",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553030",
            "telephone_number": "630-836-1616",
            "fax_number": "630-836-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HANNA",
        "middle_name": "RO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-101392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "RO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.