Individual provider Active NPI

Michael A. Liu, MD, MPH

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1023677960
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036175171 Issued in IL
Practice address
645 N Michigan Ave Ste 1006
Chicago, IL 60611-2814
Phone
(312) 695-0990
Fax
(312) 472-0564
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X LP04706 RI
Internal Medicine Physician 207R00000X 316957-01 NY
Hematology & Oncology Physician 207RH0003X 036175171 IL Primary

Addresses

Primary practice location

645 N Michigan Ave Ste 1006
Chicago, IL 60611-2814

Mailing address

645 N Michigan Ave Ste 1006
Chicago, IL 60611-2814
Phone (312) 695-0990

Other practice location 1

177 Fort Washington Ave Fl 6
New York, NY 10032-3733
Phone (212) 305-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903002314 IL Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4789918657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

675 N Saint Clair St
Chicago, IL 60611-5975
Phone (312) 695-0990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
316957-01NYMDInternal Medicine Physician
LP04706RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Central Dupage Physician Group Single Specialty PastSince Aug 25, 2025 Accepting new patients
Northwestern Medical Faculty Foundation PastSince Aug 25, 2025 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

675 N Saint Clair St
Ste 21121
Chicago, IL 60611

675 N Saint Clair St
Ste 21-100
Chicago, IL 60611
Phone (312) 908-5284

675 N Saint Clair St
Ste 20-150
Chicago, IL 60611
Phone (312) 695-8146

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1023677960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 1006",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112814",
            "telephone_number": "312-695-0990",
            "fax_number": "312-472-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 1006",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112814",
            "telephone_number": "312-695-0990",
            "fax_number": "312-472-0564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Fort Washington Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323733",
            "country_code": "US",
            "telephone_number": "212-305-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP04706",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "316957-01",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036175171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.