Individual
MR. CHANGRYOL CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
700 COLLEGE AVE, CARLINVILLE, IL 62626-1454
(800) 233-3550
Mailing address
345 JOHNSON ST, APT A-5, CARLINVILLE, IL 62626-1470
(800) 233-3550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
08/28/2006
Last updated
10/10/2007
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