Li, Paul K

Li, Paul K is an individual health care provider with primary practice located at 3105 Fields South Dr , Champaign IL 61822-3743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Li, Paul K can be contacted via phone (217) 902-7527.

Contact Information

Primary practice address
3105 Fields South Dr Champaign IL 61822-3743
Phone: (217) 902-7527
Fax: (217) 902-7755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 37821 Wisconsin
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01065914A Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036129123 Illinois

Profile Details

NPI number 1801907431
LBN Legal business name Li, Paul K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801907431 NPPES
Wisconsin MEDICAID 34055400
Wisconsin MEDICAID 200928690
Wisconsin Other 000000596754

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