Individual
CLINTON LIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3034 S UNION AVE, CHICAGO, IL 60616-3019
(312) 804-2028
Mailing address
3034 S UNION AVE, CHICAGO, IL 60616-3019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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