Individual ProviderBridget LiuEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1740 W Taylor St, Chicago, IL 60612(866) 600-2273(415) 505-4960PECOS EnrollmentBased on the most recent information from CMS, provider Bridget Liu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1164788634Provider TypeIndividualFull NameLiu, BridgetTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/9/2012Last Updated10/31/2023Contact InformationPractice LocationPractice Address1740 W Taylor St, Chicago, IL 60612Phone(866) 600-2273FaxUnlisted FaxMailing LocationMailing Address1220 Earnest St, Hercules, CA 94547-2728Phone(415) 505-4960FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA149024CaliforniaCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense036-137669Illinois