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NPI Code Detail

MEDICARE: YU-YUN LIU

MEDICARE: YU-YUN LIU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103TC0700XClinical Psychologist071.009805IL

General Provider Information

NPI Number : 1649529074
Entity Type Code : Individual
Provider Name (Legal Business Name) : YU-YUN LIU
Provider Business Mailing Address
First Line : 5555 S WOODLAWN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1620
Country : US
Telephone Number : 773-702-9800
Fax Number :
Provider Business Practice Location Address
First Line : 5555 S WOODLAWN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1620
Country : US
Telephone Number : 773-702-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 06/16/2020

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Directions to “ YU-YUN LIU ” Practice Location

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