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NPI Code Detail

MEDICARE: DR. NINA NI LIU MD

MEDICARE:  DR. NINA NI LIU  MD
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
12084P0804XChild & Adolescent Psychiatry Physician036.124099IL

General Provider Information

NPI Number : 1922254911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NINA NI LIU MD
Provider Business Mailing Address
First Line : 49 S WAUKEGAN RD
Second Line : DEERFIELD
City : DEERFIELD
State : IL
Zip : 60015-5204
Country : US
Telephone Number : 847-400-8400
Fax Number : 847-400-8445
Provider Business Practice Location Address
First Line : 49 S WAUKEGAN RD
Second Line : DEERFIELD
City : DEERFIELD
State : IL
Zip : 60015-5204
Country : US
Telephone Number : 847-400-8400
Fax Number : 847-400-8445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2008
Last Update Date : 02/12/2021

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