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DR. DANIEL ZHIDI LIU M.D. NPI 1104931286

NPI Profile

NPI: 1104931286

Provider Name: DR. DANIEL ZHIDI LIU, M.D.

Classification: Surgery - 2086S0122X

Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: PATIENT FIRST SC

PECOS Registration: Yes

Address:
9000 WAUKEGAN RD
SUITE 210
MORTON GROVE, IL
ZIP 60053

Phone: (847) 967-5120

DR. Daniel Zhidi Liu, M.D. is a plastic and reconstructive surgeon in Morton Grove, IL with 9 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Daniel Zhidi Liu, M.D. NPI is 1104931286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

9000 WAUKEGAN RD
SUITE 210
MORTON GROVE, IL
ZIP 60053-127
Phone: (847) 967-5120
Fax: (847) 967-5125

The NPI 1104931286 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 6/26/2012.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2086S0122X Surgery Plastic and Reconstructive Surgery MD60024722 WASHINGTON No
2 2086S0122X Surgery Plastic and Reconstructive Surgery 036129960 ILLINOIS Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015