Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036113585 | IL |
NPI | 1013923929 |
---|---|
Provider Name | Yibing Li |
First Address | Peoria, IL 61614-5098 |
Second Address | Peoria, IL 61614-5098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 19/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0361135851 | (05) | IL |
080182079 | RAILROAD MEDICARE (01) | IL |
106905 | HEALTH ALLIANCE (01) | IL |
563097 | HEALTHLINK (01) | IL |
7215059 | BCBS PPO (01) | IL |
I30842 | (02) | IL |
IL01L9 | JOHN DEERE (01) | IL |