Healthcare Provider Details

I. General information

NPI: 1033240627
Provider Name (Legal Business Name): LUCY H LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 E STATE PKWY
SCHAUMBURG IL
60173-4538
US

IV. Provider business mailing address

506 E STATE PKWY
SCHAUMBURG IL
60173-4538
US

V. Phone/Fax

Practice location:
  • Phone: 847-755-5192
  • Fax: 847-755-5170
Mailing address:
  • Phone: 847-755-5192
  • Fax: 847-755-5170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number36099743
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: