Provider Demographics
NPI:1225322555
Name:CHOI, LANN J (PHARMD)
Entity Type:Individual
Prefix:
First Name:LANN
Middle Name:J
Last Name:CHOI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2099 SKOKIE VALLEY RD
Mailing Address - Street 2:T-1168
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1728
Mailing Address - Country:US
Mailing Address - Phone:847-266-8147
Mailing Address - Fax:847-266-8147
Practice Address - Street 1:2099 SKOKIE VALLEY RD
Practice Address - Street 2:T-1168
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1728
Practice Address - Country:US
Practice Address - Phone:847-266-8147
Practice Address - Fax:847-266-8147
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051293573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist