Individual
DR. JEFFREY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 W DIVERSEY PKWY RM 300, CHICAGO, IL 60614-1454
(773) 248-4150
(773) 248-4291
Mailing address
835 S WOLCOTT AVE RM E-270, CHICAGO, IL 60612-3748
(312) 996-9858
(312) 996-9025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125077946
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
03/14/2022
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