Individual
SAMANTHA FAN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-1259
Mailing address
251 E HURON ST # F5-704, CHICAGO, IL 60611-2908
(626) 715-5689
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036157445
IL
207L00000X
Anesthesiology Physician
125.071572
IL
Other
Enumeration date
04/22/2015
Last updated
10/28/2021
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