Provider Demographics
NPI:1013440221
Name:CHOI, ALEXANDER JAEHYUK (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JAEHYUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 N SAINT CLAIR ST STE 7-701
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-695-7950
Mailing Address - Fax:312-926-4771
Practice Address - Street 1:676 N SAINT CLAIR ST STE 7-701
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-695-7950
Practice Address - Fax:312-926-4771
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101268531207Q00000X
IL036153157207Q00000X, 207QS1201X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine