Li, Yu Jim

Li, Yu Jim is an individual health care provider with primary practice located at 1520 7Th St , Moline IL 61265-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as his primary health care specialty. Li, Yu Jim can be contacted via phone (309) 762-8555.

Contact Information

Primary practice address
1520 7Th St Moline IL 61265-2917
Phone: (309) 762-8555
Fax: (309) 736-0733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 47029 Wisconsin

Profile Details

NPI number 1861454035
LBN Legal business name Li, Yu Jim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1861454035 NPPES
Wisconsin MEDICAID 34560500

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