Individual
DR. MIN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3739 W 26TH ST, CHICAGO, IL 60623-3827
(773) 762-0626
Mailing address
648 W 31ST ST, CHICAGO, IL 60616-3037
(815) 505-7405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025373
IL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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