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Individual
YAN LIU
Active
Individual
YAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036124735
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02158721
—
IL
01
—
4815127
BC/BD
—
01
—
530390
MEDICARE
IL
01
—
5471051
AETNA
—
Enumeration date
09/20/2006
Last updated
03/22/2010
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