Organization
CHI-ING LI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHI-ING LI D.D.S. (DENTIST)
(773) 488-5282
Entity
Organization
Contact information
Practice address
746 W 79TH ST, CHICAGO, IL 60620-2424
(773) 488-5282
Mailing address
746 W 79TH ST, CHICAGO, IL 60620-2424
(773) 488-5282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002713
—
IL
Enumeration date
04/16/2008
Last updated
10/09/2008
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