Individual
LU LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S MICHIGAN AVE, CHICAGO, IL 60616-1376
(630) 506-9747
Mailing address
562 ROXBURY DR, NAPERVILLE, IL 60565-3177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032740
IL
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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