Individual
QINGSHAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
51 W 15TH ST. UNIT A1, CHICAGO, IL 60605-3100
(216) 835-4837
Mailing address
51 W 15TH ST APT A1, CHICAGO, IL 60605-3100
(216) 835-4837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029981
IL
Other
Enumeration date
02/20/2013
Last updated
10/13/2014
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