Most Relevant Information
Provider Data
| NPI Number: | 1003443532 |
| Provider Name: | EDWARD B LI MD, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 036168698 |
Most Important Dates
| Enumeration Date: | 03/25/2020 |
| Last Updated: | 10/09/2024 |
Provider Practice Location
676 N SAINT CLAIR ST STE 1600
CHICAGO
IL
606112997
Practice Location Phone/Fax
| Phone: | 3126958106 |
| Fax: |
Provider Mailing Location
676 N SAINT CLAIR ST STE 1600
CHICAGO
IL
606112997
Provider Mailing Phone/Fax
| Phone: | 3126958106 |
| Fax: |