Organization Active NPI

Soon Ja Choi, MD

  • Primary Care Clinic/Center
  • Warrenville, IL
National Provider Identifier
1982878120
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.