Doctor Name: | DR. QI LI |
NPI Number: | 1861789737 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 125060466 |
Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
Business Phone Number: | 8778667123 |
Business Fax Number: | |
Mailing Address: | 245 W 23rd St, CHICAGO |
State: | IL |
Postal Code: | 606161903 |
Phone Number: | 4126387676 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204F00000X |
License Number: | 125060466 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Transplant Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |