Physician Compare National (NPI:1356577738)

HEALTHCARE PROVIDER: JENNIFER CHIA YUEN LIU MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356577738
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850544347
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130111000389
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIU
	Individual professional last name
Provider First Name	JENNIFER
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FREEPORT MEMORIAL HOSPITAL
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8426958232
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	61
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1045 W STEPHENSON ST
	Group Practice or individual's line 1 address
City	FREEPORT
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	610324864
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8155996000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140228
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SWEDISH AMERICAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150165
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FRANCISCAN HEALTHCARE - MUNSTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y