Provider Demographics
NPI:1508132226
Name:CHOI, NANCY (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 W GREENLEAF AVE
Mailing Address - Street 2:UNIT E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-3194
Mailing Address - Country:US
Mailing Address - Phone:773-251-6780
Mailing Address - Fax:
Practice Address - Street 1:1615 W GREENLEAF AVE
Practice Address - Street 2:UNIT E
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-3194
Practice Address - Country:US
Practice Address - Phone:773-251-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program