Individual
DR. KYUNG-SOO CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
505 N LAKE SHORE DR, #215, CHICAGO, IL 60611-3427
(213) 245-4564
Mailing address
505 N LAKE SHORE DR, #215, CHICAGO, IL 60611-3427
(213) 245-4564
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021002754
IL
1223G0001X
General Practice Dentistry
019024334
IL
Other
Enumeration date
10/22/2012
Last updated
08/01/2016
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