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NPI Code Detail

MEDICARE: YUCHENG LIU DO

MEDICARE:   YUCHENG  LIU  DO
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
1207Q00000XFamily Medicine Physician036.175747IL

General Provider Information

NPI Number : 1609516723
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUCHENG LIU DO
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 773-242-2299
Fax Number : 773-830-1920
Provider Business Practice Location Address
First Line : 2335 S WENTWORTH AVE STE B
Second Line :
City : CHICAGO
State : IL
Zip : 60616-0117
Country : US
Telephone Number : 312-566-4545
Fax Number : 773-943-6370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 04/09/2026

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Directions to “ YUCHENG LIU DO” Practice Location

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