Organization Active NPI

Chinese Medicine Dr Liu LLC

  • Acupuncturist
  • Naperville, IL
National Provider Identifier
1598377392
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CHINESE MEDICINE DR LIU LLC
Doing business as
chinese medicine DR LIU LLC
Practice address
1113 Dickens Ave
Naperville, IL 60563-4302
Phone
(312) 619-0439
Fax
(312) 619-0439
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Libin Liu, MDNPI 1386277853
Title
Acupuncturist
Phone
(312) 619-0439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1113 Dickens Ave
Naperville, IL 60563-4302

Mailing address

1113 Dickens Ave
Naperville, IL 60563-4302
Phone (312) 619-0439

Other identifiers 1

IdentifierTypeStateIssuer
198001533MedicaidIL

Other names 1

  • chinese medicine DR LIU LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1598377392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 DICKENS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634302",
            "telephone_number": "312-619-0439",
            "fax_number": "312-616-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 DICKENS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634302",
            "telephone_number": "312-619-0439",
            "fax_number": "312-619-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINESE MEDICINE DR LIU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LIBIN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "312-619-0439",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198001533",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chinese medicine DR LIU LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.