Provider Demographics
NPI:1083220107
Name:CHOY, MICHAELA MARGARET (LMFT)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:MARGARET
Last Name:CHOY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W ROSCOE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1453
Mailing Address - Country:US
Mailing Address - Phone:815-370-4768
Mailing Address - Fax:
Practice Address - Street 1:1165 N CLARK ST STE 411
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7473
Practice Address - Country:US
Practice Address - Phone:312-818-3295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001394106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist