Provider Demographics
NPI:1306045919
Name:LU, LIN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 GREEN KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1147
Mailing Address - Country:US
Mailing Address - Phone:313-506-0985
Mailing Address - Fax:913-613-0778
Practice Address - Street 1:830 W END CT STE 400
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1344
Practice Address - Country:US
Practice Address - Phone:847-247-6910
Practice Address - Fax:847-247-6950
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3360803122084P0800X
IL0361191282084P0800X
IL1250503932084P0800X
IL036.1191282084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry