Provider Demographics
NPI:1912973421
Name:CHO, EUN SEO (ANP)
Entity Type:Individual
Prefix:MRS
First Name:EUN
Middle Name:SEO
Last Name:CHO
Suffix:
Gender:F
Credentials:ANP
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Mailing Address - Street 1:1335 S PRAIRIE AVE
Mailing Address - Street 2:UNIT 702
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3121
Mailing Address - Country:US
Mailing Address - Phone:847-648-1621
Mailing Address - Fax:
Practice Address - Street 1:5145 N CALIFORNIA AVE
Practice Address - Street 2:PRE-SURGICAL TESTING DEPARTMENT
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3661
Practice Address - Country:US
Practice Address - Phone:773-989-3822
Practice Address - Fax:773-506-0189
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL87266Medicare ID - Type Unspecified