NPIMap

Individual provider Active NPI

Seong Wook Choi, D.C.

  • Rehabilitation Chiropractor
  • Niles, IL
National Provider Identifier
1790811461
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038-008845 Issued in IL
Practice address
241 Golf Mill Ctr Ste 516
Niles, IL 60714
Phone
(847) 390-8600
NPI assigned
Feb 26, 2007
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038-008845 IL Primary

Addresses

Primary practice location

241 Golf Mill Ctr Ste 516
Niles, IL 60714

Mailing address

241 Golf Mill Ctr Ste 516
Niles, IL 60714-1215
Phone (847) 390-8600

Other practice location 1

241 Golf Mill Ctr
520
Niles, IL 60714-1224
Phone (847) 390-8600

Other identifiers 1

IdentifierTypeStateIssuer
038008845MedicaidIL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008845ILMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin P Katz, M.D.S.C Past Accepting new patients
Immanuel Physical Rehab Institute PastSince Oct 1, 2001 Accepting new patients
Cornerstone Rehabilitation Institute PastSince Mar 4, 2004 Accepting new patients

Organizations & group practices 3

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1790811461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 516",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141215",
            "telephone_number": "847-390-8600",
            "fax_number": "847-390-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR STE 516",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-390-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Golf Mill Ctr",
            "address_2": "520",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607141224",
            "country_code": "US",
            "telephone_number": "847-390-8600",
            "fax_number": "847-390-8609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SEONG",
        "middle_name": "WOOK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038-008845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008845",
            "state": "IL"
        }
    ],
    "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 Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.