Li Zhang MD SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036.095842 Issued in IL

Legal business name

LI ZHANG MD SC

Practice address

5980 South Route 53
Suite-B
Lisle, IL 60532

Phone

(630) 968-8220

Fax

(630) 968-8230

NPI assigned

Apr 9, 2007

Last updated

Jun 6, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Li Zhang, MD

Title

President

Phone

(630) 968-8220

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1568585933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5428",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "60517",
            "telephone_number": "630-968-8220",
            "fax_number": "630-968-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 SOUTH ROUTE 53",
            "address_2": "SUITE-B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-968-8220",
            "fax_number": "630-968-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI ZHANG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-968-8220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036095842",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.095842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.