Individual
JACOB CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 N CLARK ST, SUITE 600, CHICAGO, IL 60654-4712
(312) 274-0308
Mailing address
350 N CLARK ST, SUITE 600, CHICAGO, IL 60654-4712
(312) 274-0308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030357
IL
Other
Enumeration date
05/22/2015
Last updated
08/17/2015
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