Active NPI
Eden Liu
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036166519
- Practice address
- 722 W Maxwell St
Chicago, IL 60607-5002 - Phone
- (312) 996-2901
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036166519 | IL | Primary |
| Family Medicine Physician | 207Q00000X | LP04410 | RI | |
| Family Medicine Physician | 207Q00000X | A174549 | CA |
Addresses
Primary practice location
722 W Maxwell St
Chicago, IL 60607-5002
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 996-2901
Other practice location 2
10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Phone (310) 286-0122
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 |
|---|---|---|---|---|
| I20231101001424 | IL | Practitioner - Family Practice | 3274881560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Board of Trustees of the University of Illinois
Practice addresses (Care Compare)
722 W Maxwell St
Suite 235
Chicago, IL 60607-5002
Phone (312) 433-4114
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A174549 | CA | MD | Family Medicine Physician |
| 036166519 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 | Family Medicine | Current | Accepting new patients |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114
722 W Maxwell St
Chicago, IL 60607
Phone (312) 996-2901
1713 S Ashland Ave
Chicago, IL 60608
Phone (312) 421-5382
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Interoperability endpoints
- eden.liu.1@20978.direct.athenahealth.com
- eliu155652@uihealth.direct-ci.com
Organizations & group practices 28
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.
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IL
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- Psychiatric Hospital Unit
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-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1124787908
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1154541936
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1164461117
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1346596327
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356000236
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356367304
-
- Federally Qualified Health Center (FQHC)
- Cicero, IL
- NPI 1407166671
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1457523219
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1578069282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 W MAXWELL ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606075002",
"telephone_number": "312-996-2901"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-996-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10250 Santa Monica Blvd Ste 2440",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900676593",
"country_code": "US",
"telephone_number": "310-286-0122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "EDEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036166519",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "LP04410",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A174549",
"primary": false
}
],
"identifiers": [],
"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 Jan 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.