Basic Information
Provider Information
NPI: 1730248691
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHO-MUI
FirstName: LILY
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2650 RIDGE AVE
Address2: EVANSTON HOSPITAL
City: EVANSTON
State: IL
PostalCode: 602011718
CountryCode: US
TelephoneNumber: 8475701206
FaxNumber: 8475701248
Practice Location
Address1: 633 EMERSON ST
Address2:  
City: EVANSTON
State: IL
PostalCode: 602081777
CountryCode: US
TelephoneNumber: 8474915470
FaxNumber: 8474915919
Other Information
ProviderEnumerationDate: 12/07/2006
LastUpdateDate: 01/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036-101950ILY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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