Individual
DR. LILY J LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7416
Mailing address
3340 PROVIDENCE DR, SUITE 366, ANCHORAGE, AK 99508-4616
(907) 563-3026
(907) 562-6445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036154581
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036154581
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4756
—
AK
Enumeration date
05/12/2006
Last updated
03/06/2025
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