Provider Demographics
NPI:1720238058
Name:CHOI, ALBERT F (OD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:F
Last Name:CHOI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 FOX VALLEY CTR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4184
Mailing Address - Country:US
Mailing Address - Phone:630-851-8300
Mailing Address - Fax:
Practice Address - Street 1:3760 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-4105
Practice Address - Country:US
Practice Address - Phone:773-975-2020
Practice Address - Fax:773-975-2085
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010089152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist