Provider Demographics
NPI:1780976027
Name:CHOICE ACUPUNCTURE & ORIENTAL MEDICINE INC.
Entity type:Organization
Organization Name:CHOICE ACUPUNCTURE & ORIENTAL MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:THOMPSON-CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:630-433-0323
Mailing Address - Street 1:1508 S FAIRFIELD AVE APT 6A
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4665
Mailing Address - Country:US
Mailing Address - Phone:630-433-0323
Mailing Address - Fax:
Practice Address - Street 1:2021 MIDWEST RD
Practice Address - Street 2:SUITE 100E
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1342
Practice Address - Country:US
Practice Address - Phone:630-568-5942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011371111NR0200X, 111N00000X
IL198000890171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty