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Dr. Fang Li, MD
Specialist in Bloomington, Illinois
NPI 1356447841

Fang Li is a Specialist based in Bloomington, IL. Fang Li practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Fang Li is 1356447841 and holds a License No. 036095578 (Illinois).

The current practice location address for Fang Li is 2204 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-662-9461 and via fax at 309-663-0222. You can also correspond with Fang Li through the mailing address at 2204 EASTLAND DR, BLOOMINGTON, IL - 61704-3566 (mailing address contact number: 309-662-9461).

Location: 2204 Eastland Dr, Bloomington, IL, 61704-3566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356447841
Provider Name
Fang Li
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2204 Eastland Dr, Bloomington, IL, 61704-3566
Phone Number
309-662-9461
Fax Number
309-663-0222
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130016944 01 IL MEDICARE ID
036095578 05 IL
5715381 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2204 Eastland Dr
City
Bloomington
State
Illinois
Zip
61704-3566
Phone Number
309-662-9461
Fax Number
309-663-0222
person
Provider Business Mailing Address Details
Address
2204 Eastland Dr
City
Bloomington
State
Illinois
Zip
61704-3566
Phone Number
309-662-9461
Fax Number
309-663-0222
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036095578 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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