Dr. Fang Li, MD - Bloomington, IL

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.

Location: 2204 Eastland Dr, Bloomington, IL, 61704-3566

NPI Number

1356447841

Provider Name

Fang Li

Credential

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

Identifier	Type	State	Issuer
130016944	01	IL	MEDICARE ID
036095578	05	IL
5715381	01	IL	BLUE CROSS BLUE SHIELD

Address

2204 Eastland Dr

City

Bloomington

State

Illinois

Zip

61704-3566

Phone Number

309-662-9461

Fax Number

309-663-0222

Address

2204 Eastland Dr

City

Bloomington

State

Illinois

Zip

61704-3566

Phone Number

309-662-9461

Fax Number

309-663-0222

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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