Individual
KEVIN PAUL LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1301
(309) 655-6810
(309) 655-4041
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6810
(309) 655-4041
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036171917
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
09/11/2024
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