Individual
DR. KEVIN LUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3925 75TH ST STE 105, AURORA, IL 60504-7962
(630) 978-7337
(630) 978-1341
Mailing address
3925 75TH ST STE 105, AURORA, IL 60504-7962
(630) 978-7337
(630) 978-1341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-107913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107913
—
IL
Enumeration date
06/18/2006
Last updated
10/04/2023
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