Healthcare Provider Details

I. General information

NPI: 1588240022
Provider Name (Legal Business Name): ANQI LI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 N ALPINE RD
LOVES PARK IL
61111-3107
US

IV. Provider business mailing address

7702 N ALPINE RD
LOVES PARK IL
61111-3107
US

V. Phone/Fax

Practice location:
  • Phone: 815-971-3397
  • Fax: 815-971-9795
Mailing address:
  • Phone: 815-971-3310
  • Fax: 815-971-9602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number036.167885
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036.167885
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036.167885
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: