Individual
DR. KATE H.A. LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 WIESBROOK RD, WHEATON, IL 60189
(630) 614-4000
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146000
IL
207Q00000X
Family Medicine Physician
DR0052150
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-3634
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024408
KAISER COMMERCIAL NUMBER
CO
05
—
97456357
—
CO
Enumeration date
06/17/2010
Last updated
09/12/2018
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