Provider Demographics
NPI:1063462646
Name:CHOI, CAROLINE J (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:J
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 5202
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-5202
Mailing Address - Country:US
Mailing Address - Phone:847-253-7777
Mailing Address - Fax:847-590-1006
Practice Address - Street 1:1614 WEST CENTRAL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1534
Practice Address - Country:US
Practice Address - Phone:847-253-7777
Practice Address - Fax:847-590-1006
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2012-03-06
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Provider Licenses
StateLicense IDTaxonomies
IL036110561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01601913OtherBCBS OF IL
IL01601913OtherBCBS OF IL
ILI05757Medicare UPIN
ILK24677Medicare ID - Type Unspecified