Choi, Kwang H

Choi, Kwang H is an individual health care provider with primary practice located at 9645 Lincolnway Ln Ste 207A , Frankfort IL 60423-1908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Choi, Kwang H can be contacted via phone (815) 277-7012.

Contact Information

Primary practice address
9645 Lincolnway Ln Ste 207A Frankfort IL 60423-1908
Phone: (815) 277-7012
Fax: (844) 859-1447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041982A Indiana

Profile Details

NPI number 1770592990
LBN Legal business name Choi, Kwang H
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770592990 NPPES
Indiana Other 000000361964 ANTHEM BCBS
Indiana MEDICAID 200542420 ANTHEM BCBS
Indiana Other 800579000 ANTHEM BCBS
Indiana Other 90001228 ANTHEM BCBS
Indiana Other N7997725 ANTHEM BCBS

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