Individual
LILY L ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(630) 835-6159
Mailing address
2520 ELISHA AVE, ZION, IL 60099-2676
(312) 864-7277
(312) 864-9002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001966
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-001966
STATE LICENSE
ID
Enumeration date
12/05/2006
Last updated
09/10/2012
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