Individual
YI HSUAN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209.023010
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
209.023010
IL
Other
Enumeration date
03/13/2021
Last updated
01/27/2025
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