| Doctor Name: | JESSICA LAI |
| NPI Number: | 1053632786 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 036.132328 |
| Business Practice Address: | 4440 W 95th St Oak Lawn, IL - 604532600 |
| Business Phone Number: | 7086848000 |
| Business Fax Number: | |
| Mailing Address: | 123 N Desplaines St Apt 1114, CHICAGO |
| State: | IL |
| Postal Code: | 606612305 |
| Phone Number: | 6144394709 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2010 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 036.132328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |