MEDICARE: DR. CATHERINE LIU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	036.133134	IL

General Provider Information

NPI Number	:	1467689794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE LIU M.D.

Provider Business Mailing Address
First Line	:	106 W CALENDAR AVE STE 172
Second Line	:
City	:	LA GRANGE
State	:	IL
Zip	:	60525-2325
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3059 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-4131
Country	:	US
Telephone Number	:	773-584-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2009
Last Update Date	:	11/19/2025

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