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Contact Information

LILLY H CHENG IMMERGLUCK
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LILLY H CHENG IMMERGLUCK · (Female)

NPI Number 1114915055
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2005
Last updated 11/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 056573
  • IL License # 036086652
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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