Provider Demographics
NPI:1831433481
Name:CHOI, MUNYEONG (DC)
Entity type:Individual
Prefix:DR
First Name:MUNYEONG
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 S. FAIRFIELD AVE. UNIT 6A
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148
Mailing Address - Country:US
Mailing Address - Phone:630-433-0325
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:630-345-5437
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011371111NR0200X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
No111N00000XChiropractic ProvidersChiropractor