Healthcare Provider Details

I. General information

NPI: 1457680662
Provider Name (Legal Business Name): MARIA ANN URANI LIU PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 JORIE BLVD STE 380
OAK BROOK IL
60523
US

IV. Provider business mailing address

11039 KINGSTON ST
WESTCHESTER IL
60154-4905
US

V. Phone/Fax

Practice location:
  • Phone: 630-765-3756
  • Fax:
Mailing address:
  • Phone: 708-819-0868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071007812
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: