Individual provider Active NPI

Eunhee Choi, DDS

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1891841813
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025913 Issued in IL
Practice address
1304 Waukegan Rd
Glenview, IL 60025-3022
Phone
(847) 486-8888
Fax
(847) 486-8889
NPI assigned
Jan 25, 2007
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019025913 IL Primary

Addresses

Primary practice location

1304 Waukegan Rd
Glenview, IL 60025-3022

Mailing address

4336 Phyllis Dr
Northbrook, IL 60062-1026
Phone (847) 477-5050

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609001376 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698096147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Restorations PC General Practice CurrentSince Aug 6, 2023 Accepting new patients
Daniel N. Uditsky D.D.S. LTD General Practice Past Accepting new patients
Badegian Dental Group, P.C. PastSince Aug 6, 2023 Accepting new patients

Locations

1304 Waukegan Rd
Glenview, IL 60025
Phone (847) 486-8888

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1891841813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 PHYLLIS DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621026",
            "telephone_number": "847-477-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253022",
            "telephone_number": "847-486-8888",
            "fax_number": "847-486-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "EUNHEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.