Active NPI
Soon Ja Choi, MD
- Primary Care Clinic/Center
- Warrenville, IL
National Provider Identifier
1982878120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SOON JA CHOI, MD
- Practice address
- 2 S 631 Route 59
Suite E
Warrenville, IL 60555-1464 - Phone
- (630) 393-3400
- Fax
- (630) 393-7589
- NPI assigned
- Apr 18, 2008
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Soon Ja Choi, M.D.
- Title
- Owner
- Phone
- (630) 393-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | IL | Primary |
Addresses
Primary practice location
2 S 631 Route 59
Suite E
Warrenville, IL 60555-1464
Mailing address
2 S 631 Route 59
Suite E
Warrenville, IL 60555
Phone (630) 393-3400
National Provider Directory
National Provider DirectoryLocations
2S631 State Route 59
Ste E
Warrenville, IL 60555
Phone (630) 216-9098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1982878120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S 631 ROUTE 59",
"address_2": "SUITE E",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "60555",
"telephone_number": "630-393-3400",
"fax_number": "630-393-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S 631 ROUTE 59",
"address_2": "SUITE E",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605551464",
"telephone_number": "630-393-3400",
"fax_number": "630-393-7589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOON JA CHOI, MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "SOON JA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-393-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.