Individual
MARK CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3249 OAK PARK AVE, METROPOLITAN ADVANCED RADIOLOGICAL SERVICES, LTD, BERWYN, IL 60402-3429
(708) 783-2696
(708) 783-3164
Mailing address
3249 OAK PARK AVE, METROPOLITAN ADVANCED RADIOLOGICAL SERVICES, LTD, BERWYN, IL 60402-3429
(708) 783-2696
(708) 783-3164
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02002962
IN
2085R0202X
Diagnostic Radiology Physician
34.009265
OH
2085R0202X
Diagnostic Radiology Physician
46602-021
WI
2085R0202X
Diagnostic Radiology Physician
DO1391
NV
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00455855
MEDICARE RAILROAD
IL
Enumeration date
09/26/2005
Last updated
04/16/2008
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