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General NPI Number Information
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NPI Number | 1073590337
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Entity Type | Individual
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Provider Name | JIM ZB LU MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1000 CORPORATE GROVE DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-4550
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Country | US
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Telephone | 224-588-9940
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Fax | 224-588-9941
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Provider Business Mailing Address
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Address Line | 1359 BARCLAY BLVD
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-4501
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Country | US
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Telephone | 224-588-9940
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Fax | 224-588-9941
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 04-39675
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 01059594A
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License Number State | IN
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