Provider Demographics
NPI:1336585132
Name:XU, LAI
Entity Type:Individual
Prefix:
First Name:LAI
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:UIUC, DEPARTMENT OF INTERNAL MEDICINE,
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-9668
Mailing Address - Fax:319-384-8955
Practice Address - Street 1:3701 ALGONQUIN RD STE 900
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3193
Practice Address - Country:US
Practice Address - Phone:847-577-0620
Practice Address - Fax:319-384-8955
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036150421207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology