Individual
DR. KURT LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611
(312) 695-8106
Mailing address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-8106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.145788
IL
207N00000X
Dermatology Physician
57.010880
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2835703
—
OH
Enumeration date
06/05/2007
Last updated
07/26/2018
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