Individual
JIAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, PSYCHIATRY/PSYCHOLOGY, URBANA, IL 61801-2529
(217) 383-3800
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036112728
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112728
—
IL
Enumeration date
07/20/2006
Last updated
05/07/2014
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