Active NPI
Dennis B Liu, M.D.
- Urology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036111648
- Practice address
- 225 E Chicago Ave
Box 24
Chicago, IL 60611-2991 - Phone
- (312) 227-6340
- Fax
- (312) 227-9412
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036111648 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Box 24
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave
Box 24
Chicago, IL 60611-2991
Phone (312) 227-6340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36111648 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110330000897 | IL | Practitioner - Urology | 7416960356 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036111648 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Urology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Urology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| University of Toledo Physicians LLC | Urology | Past | Accepting new patients |
Locations
1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
60 E Delaware Pl
Chicago, IL 60611
Phone (312) 440-5127
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
IL, Urology
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1740328244
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Urology Physician
- Chicago, IL
- NPI 1760601892
Urology
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378080000000",
"number": "1124076724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"address_2": "BOX 24",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6340",
"fax_number": "312-227-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"address_2": "BOX 24",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6340",
"fax_number": "312-227-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "DENNIS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2013-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036111648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36111648",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.