Provider Demographics
NPI:1962613679
Name:CHOI, JENNIFER NAM (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NAM
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-695-0307
Mailing Address - Fax:312-695-0664
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 1600
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-695-0307
Practice Address - Fax:312-695-0664
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2015-08-29
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Provider Licenses
StateLicense IDTaxonomies
IL036138939207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology