Lilly Hsi Chih Cheng-Immergluck

Pediatrics Physician · Maywood, IL

Individual Active NPI

NPI number 1114915055

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000

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NPI record

NPI
1114915055
Entity type
Individual (Type 1)
Enumeration date
October 13, 2005
Last updated
November 16, 2023
Certified
November 16, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036086652 IL
Pediatric Infectious Diseases Physician 2080P0208X 036086652 IL
Pediatrics Physician 208000000X 056573 GA
Pediatric Infectious Diseases Physician 2080P0208X 056573 GA

Mailing address

720 Westview Drive SW
Harris Bldg., 100-A
Atlanta, GA 30310
Phone
(404) 756-1400

Other practice locations (1)

  • 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3031 · (404) 616-1000

About Lilly Cheng-Immergluck

Lilly Hsi Chih Cheng-Immergluck is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1114915055 was assigned on October 13, 2005 and the record was last updated on November 16, 2023.

Lilly Cheng-Immergluck lists 4 licenses in the registry: #036086652 (IL) for Pediatrics Physician; #036086652 (IL) for Pediatric Infectious Diseases Physician; #056573 (GA) for Pediatrics Physician; #056573 (GA) for Pediatric Infectious Diseases Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lilly Hsi Chih Cheng-Immergluck?

The NPI number is 1114915055.

What is the phone number of Lilly Cheng-Immergluck?

The phone number listed for the practice location is (708) 216-9000.

Where is Lilly Cheng-Immergluck located?

2160 S 1st Ave, Maywood, IL 60153-3328.

What is the taxonomy code for Lilly Cheng-Immergluck?

The primary taxonomy code is 208000000X – Pediatrics Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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