Individual
PAULINE CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 N CHILDRENS PLZ, PATHOLOGY LAB, CHICAGO, IL 60614-3363
(773) 880-4000
Mailing address
2300 N CHILDRENS PLZ, BOX 17, CHICAGO, IL 60614-3363
(773) 880-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036068444
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021622158
CMMG BLUE SHIELD
IL
05
—
036068444
—
IL
Enumeration date
07/28/2005
Last updated
07/09/2007
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