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NPI Code Detail

MEDICARE: KEVIN Y. LAU M.D.

MEDICARE: KEVIN Y. LAU M.D.
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
1207L00000XAnesthesiology PhysicianIL

General Provider Information

NPI Number : 1073515581
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN Y. LAU M.D.
Provider Business Mailing Address
First Line : 520 E 22ND ST
Second Line :
City : LOMBARD
State : IL
Zip : 60148-6110
Country : US
Telephone Number : 630-874-2542
Fax Number : 630-874-2642
Provider Business Practice Location Address
First Line : 2233 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-3043
Country : US
Telephone Number : 312-770-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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