Provider Demographics
NPI:1285119792
Name:CHO, OKSOON (PHD)
Entity type:Individual
Prefix:DR
First Name:OKSOON
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:OKSOON
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1247 MILWAUKEE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2464
Mailing Address - Country:US
Mailing Address - Phone:847-813-9079
Mailing Address - Fax:847-813-6118
Practice Address - Street 1:1247 MILWAUKEE AVE STE 206
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2464
Practice Address - Country:US
Practice Address - Phone:847-813-9079
Practice Address - Fax:847-813-6118
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL$$$$$$$$$Medicaid