Individual
JUSTIN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 W 203RD ST STE 301, OLYMPIA FIELDS, IL 60461-1182
(708) 679-2850
(708) 503-3816
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036166721
IL
208M00000X
Hospitalist Physician
036166721
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2020
Last updated
02/10/2025
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