Individual ProviderLisa LiuFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Lake St, Suite 150, Oak Park, IL 60301-1015(708) 383-2023PECOS EnrollmentBased on the most recent information from CMS, provider Lisa 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 2 days ago.Profile DetailsProvider ID1609033133Provider TypeIndividualFull NameLiu, LisaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/21/2008Last Updated5/6/2021Contact InformationPractice LocationPractice Address1100 Lake St, Suite 150, Oak Park, IL 60301-1015Phone(708) 383-2023FaxUnlisted FaxMailing LocationMailing Address1100 Lake St, Suite 150, Oak Park, IL 60301-1015Phone(708) 383-2023FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036124241Illinois