Individual
LILLY HSI CHIH CHENG-IMMERGLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036086652
IL
208000000X
Pediatrics Physician
056573
GA
2080P0208X
Pediatric Infectious Diseases Physician
036086652
IL
2080P0208X
Pediatric Infectious Diseases Physician
056573
GA
Other
Enumeration date
10/13/2005
Last updated
11/16/2023
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