Liu, Ingrid Y

Liu, Ingrid Y is an individual health care provider with primary practice located at 917 S Oak Park Ave Ste B , Oak Park IL 60304-1950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Liu, Ingrid Y can be contacted via phone (708) 386-3080.

Contact Information

Primary practice address
917 S Oak Park Ave Ste B Oak Park IL 60304-1950
Fax: (708) 386-3084
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098244 Illinois

Profile Details

NPI number 1033102744
LBN Legal business name Liu, Ingrid Y
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033102744 NPPES
Other 1033102744 NPI
MEDICAID 036098244 NPI

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