Dr. Kevin Lue, M.D.
Pediatrics in Aurora, IL. Individual provider (NPI-1).
NPI number1043255672
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1043255672
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Lue
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2006
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036-107913 | IL | Yes |
Practice location
3925 75th St Ste 105Aurora, IL 60504-7962
Phone 630-978-7337 · Fax 630-978-1341
Mailing address
3925 75th St Ste 105Aurora, IL 60504-7962
Phone 630-978-7337 · Fax 630-978-1341
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