Provider Demographics
NPI:1699765230
Name:CHOI, JOHN CHUWON (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHUWON
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHU
Other - Middle Name:WON
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28375 DAVIS PKWY
Mailing Address - Street 2:SUITE 905
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3030
Mailing Address - Country:US
Mailing Address - Phone:630-836-1616
Mailing Address - Fax:630-836-1612
Practice Address - Street 1:28375 DAVIS PKWY
Practice Address - Street 2:SUITE 905
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3030
Practice Address - Country:US
Practice Address - Phone:630-836-1616
Practice Address - Fax:630-836-1612
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02233155OtherBCBS PROVIDER NUMBER
IL02233155OtherBCBS PROVIDER NUMBER
ILF43213Medicare UPIN