Choi, Soon Ja

Choi, Soon Ja is an individual health care provider with primary practice located at 2 South 631 Route 59 Suite E, Warrenville IL 60555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Choi, Soon Ja can be contacted via phone (630) 393-3400.

Contact Information

Primary practice address
2 South 631 Route 59 Suite E Warrenville IL 60555
Fax: (630) 393-7589
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1306807763
LBN Legal business name Choi, Soon Ja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1306807763 NPPES
Illinois Other 02215040 BCBS PROVIDER NUMBER

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