Individual
MS. CAMMIE C LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-1032
Mailing address
1135 S DELANO CT E APT 814, CHICAGO, IL 60605-3466
(310) 907-6406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006805
IL
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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