Individual
SEBAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 N WALL ST, KANKAKEE, IL 60901-2942
(844) 404-4787
(815) 936-3242
Mailing address
500 N WALL ST, KANKAKEE, IL 60901-2942
(844) 404-4787
(815) 936-3243
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036157303
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2015
Last updated
07/30/2021
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