=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003884206
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONSOLIDATED PATHOLOGY CONSULTANTS SC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2006
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 N WESTMORELAND RD
-----------------------------------------------------
City | LAKE FOREST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60045-1658
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-996-1030
-----------------------------------------------------
Fax | 847-996-0791
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 75 REMITTANCE DR DEPT 1895
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60675-1895
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-874-2744
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | WENHUA LIU
-----------------------------------------------------
Credential | MD, PHD
-----------------------------------------------------
Telephone | 847-996-1030
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207ZP0102X
-----------------------------------------------------
Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------