Individual
JIAWEN LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 N CALIFORNIA AVE, CHICAGO, IL 60622-1602
(773) 782-8700
Mailing address
465 N PARK DR APT 3411, CHICAGO, IL 60611-0012
(347) 330-7826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012045
IL
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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