Individual
DR. THOMAS EUGENE LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5600 W ADDISON ST, STE 304, CHICAGO, IL 60634-4468
(773) 481-1570
(773) 481-0547
Mailing address
5600 W ADDISON ST, SUITE 304, CHICAGO, IL 60634-4401
(773) 481-1570
(773) 481-0547
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036064623
IL
207RP1001X
Pulmonary Disease Physician
Primary
036064623
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064623
—
IL
Enumeration date
07/07/2005
Last updated
04/14/2016
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