Individual
MICHAEL JACK LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611
(312) 238-1000
Mailing address
71 W HUBBARD ST APT 1811, CHICAGO, IL 60654-4615
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125073442
IL
Other
Enumeration date
04/04/2018
Last updated
07/01/2019
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