Provider Demographics
NPI:1184611881
Name:ZHANG, LI (MD)
Entity type:Individual
Prefix:DR
First Name:LI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SPALDING DR STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6599
Mailing Address - Country:US
Mailing Address - Phone:630-527-7730
Mailing Address - Fax:630-527-7732
Practice Address - Street 1:120 SPALDING DR STE 101
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6599
Practice Address - Country:US
Practice Address - Phone:630-527-7730
Practice Address - Fax:630-527-7732
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360958422084N0400X
IL036.0958422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036095842Medicaid
K08815Medicare ID - Type Unspecified
G89762Medicare UPIN
IL036095842Medicaid