Individual
LU LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616
(131) 294-9700
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(131) 294-9700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011189
IL
152W00000X
Optometrist
OPT003153
GA
Other
Enumeration date
04/13/2018
Last updated
11/11/2019
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