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NPI Code Detail

MEDICARE: DR. THOMAS XUEFENG LU MD, PHD

MEDICARE: DR. THOMAS XUEFENG LU MD, PHD
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
1207RG0100XGastroenterology Physician036138998IL
2207RG0100XGastroenterology Physician01083357AIN

General Provider Information

NPI Number : 1083052880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS XUEFENG LU MD, PHD
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number : 773-702-1000
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE # MC4076
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 773-702-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 12/16/2025

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