Lu, Tony

Lu, Tony is an individual health care provider with primary practice located at 2160 S First Ave Luh - North Ent., Rm.7604, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lu, Tony can be contacted via phone (708) 216-8563.

Contact Information

Primary practice address
2160 S First Ave Luh - North Ent., Rm.7604 Maywood IL 60153
Fax: (708) 216-0346
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36095300 Illinois

Profile Details

NPI number 1396719183
LBN Legal business name Lu, Tony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Nov 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396719183 NPPES
Illinois MEDICAID 36095300

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