Lilly Hsi Chih Cheng-Immergluck
Pediatrics in Maywood, IL. Individual provider (NPI-1).
NPI number1114915055
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1114915055
- Entity type
- Individual (NPI-1)
- Name
- Lilly Hsi Chih Cheng-Immergluck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2005
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036086652 | IL | Yes |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 036086652 | IL | |
| 208000000X | Pediatrics | 056573 | GA | |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 056573 | GA |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
720 Westview Drive SwHarris Bldg., 100-A
Atlanta, GA 30310
Phone 404-756-1400
Other practice locations
80 Jesse Hill Jr Dr Se
Atlanta, GA 30303-3031
Atlanta, GA 30303-3031
Phone 404-616-1000
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