Individual
JAY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
302 RANDALL RD, GENEVA, IL 60134
(630) 232-6111
Mailing address
302 RANDALL RD, GENEVA, IL 60134-4220
(630) 232-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52499
CO
207RI0200X
Infectious Disease Physician
Primary
036146001
IL
Other
Enumeration date
04/08/2010
Last updated
07/17/2018
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