Provider Demographics
NPI:1649664590
Name:LI, HUI HUI (MD)
Entity type:Individual
Prefix:MS
First Name:HUI HUI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MADISON
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:200 N MICHIGAN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5509
Mailing Address - Country:US
Mailing Address - Phone:833-334-6393
Mailing Address - Fax:415-354-3430
Practice Address - Street 1:200 N MICHIGAN AVE STE 102
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5509
Practice Address - Country:US
Practice Address - Phone:833-334-6393
Practice Address - Fax:415-354-3430
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH57.026151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program