Individual
KWANG H CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9645 LINCOLNWAY LN STE 207A, FRANKFORT, IL 60423-1908
(815) 277-7012
(844) 859-1447
Mailing address
9645 LINCOLNWAY LN STE 207A, FRANKFORT, IL 60423-1908
(815) 277-7012
(844) 859-1447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041982A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361964
ANTHEM BCBS
IN
05
—
200542420
—
IN
01
—
800579000
MAGELLAN
IN
01
—
90001228
BCBSIL
IN
01
—
N7997725
AETNA
IN
Enumeration date
08/05/2006
Last updated
12/07/2018
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