Provider Demographics
NPI:1427267798
Name:LI, ZHIHONG (O M D)
Entity type:Individual
Prefix:
First Name:ZHIHONG
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:O M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 N ORCHARD ST
Mailing Address - Street 2:UNIT 301
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-6251
Mailing Address - Country:US
Mailing Address - Phone:773-665-2061
Mailing Address - Fax:
Practice Address - Street 1:1140 LAKE ST
Practice Address - Street 2:SUITE 402
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1049
Practice Address - Country:US
Practice Address - Phone:708-848-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist