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Sophia Choi

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1900 W Polk St, Room 1248, Chicago, IL 60612-3723

PECOS Enrollment

Based on the most recent information from CMS, provider Sophia Choi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1497174379
Provider Type
Individual
Full Name
Choi, Sophia
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/8/2014
Last Updated
4/22/2021

Contact Information

Practice Location

1900 W Polk St, Room 1248, Chicago, IL 60612-3723

(312) 864-1000

Unlisted Fax

Mailing Location

1900 W Polk St, Room 1248, Chicago, IL 60612-3723

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.004983 Illinois

Sophia Choi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Payne, Arlett

Holden, M C

Kumar, Nainika

Sikora-Jackson, Ann Marie

Saulnier, Matthew James

Burns, Megan

Sims, Kevin E.

Reed, Kennedy Jean

Freeman, Bethann

Powers, Kathleen Elizabeth