Healthcare Provider Details

I. General information

NPI: 1427968858
Provider Name (Legal Business Name): BAOQI LIANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 S WOOD ST
CHICAGO IL
60612-7229
US

IV. Provider business mailing address

9303 FALKWOOD RD
RALEIGH NC
27617-8225
US

V. Phone/Fax

Practice location:
  • Phone: 252-864-8166
  • Fax:
Mailing address:
  • Phone: 252-864-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051308753
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: