Healthcare Provider Details

I. General information

NPI: 1467689794
Provider Name (Legal Business Name): CATHERINE LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3059 W 26TH ST
CHICAGO IL
60623-4131
US

IV. Provider business mailing address

106 W CALENDAR AVE STE 172
LA GRANGE IL
60525-2325
US

V. Phone/Fax

Practice location:
  • Phone: 773-584-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036.133134
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: