Individual
DR. INGRID Y LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
917 S OAK PARK AVE STE B, OAK PARK, IL 60304-1950
(708) 386-3080
(708) 386-3084
Mailing address
917 S OAK PARK AVE STE B, OAK PARK, IL 60304-1950
(708) 386-3080
(708) 386-3084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098244
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098244
—
IL
01
—
1033102744
NPI
—
Enumeration date
08/26/2005
Last updated
03/22/2023
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