Provider Demographics
NPI:1023283611
Name:CHOH, MARK S (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:CHOH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3245 GROVE AVE
Mailing Address - Street 2:#202
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3474
Mailing Address - Country:US
Mailing Address - Phone:708-484-0621
Mailing Address - Fax:708-484-0250
Practice Address - Street 1:3245 GROVE AVE
Practice Address - Street 2:#202
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3474
Practice Address - Country:US
Practice Address - Phone:708-484-0621
Practice Address - Fax:708-484-0250
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2012-03-26
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Provider Licenses
StateLicense IDTaxonomies
ILIL 036118355208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery