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NPI Code Detail

MEDICARE: DR. LIOUBOV SOULII M.D.,

MEDICARE: DR. LIOUBOV SOULII 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
12085R0202XDiagnostic Radiology Physician71305WI
22085R0202XDiagnostic Radiology Physician036146300IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972846236
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIOUBOV SOULII M.D.,
Provider Business Mailing Address
First Line : 1000 N WESTMORELAND RD
Second Line :
City : LAKE FOREST
State : IL
Zip : 60045-1658
Country : US
Telephone Number : 847-234-5600
Fax Number : 847-535-7847
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-413-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 04/10/2026

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