MEDICARE: DENNY LAU DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036148362	IL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1326492414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNY LAU DO

Provider Business Mailing Address
First Line	:	1102 W ARGYLE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3610
Country	:	US
Telephone Number	:	773-394-2888
Fax Number	:	773-394-2889

Provider Business Practice Location Address
First Line	:	1102 W ARGYLE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3610
Country	:	US
Telephone Number	:	773-394-2888
Fax Number	:	773-394-2889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	02/04/2020

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Directions to “ DENNY LAU DO” Practice Location

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