Individual
STEPHEN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(123) 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
036172881
IL
207N00000X
Dermatology Physician
Primary
125.079176
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2021
Last updated
06/03/2025
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