Individual ProviderJohn LiuFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address908 N Elm St Ste 202, Hinsdale, IL 60521-3637(630) 861-6663PECOS EnrollmentBased on the most recent information from CMS, provider John 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 yesterday at 12:57 PM.Profile DetailsProvider ID1689770232Provider TypeIndividualFull NameLiu, JohnTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date9/14/2006Last Updated10/12/2021Contact InformationPractice LocationPractice Address908 N Elm St Ste 202, Hinsdale, IL 60521-3637Phone(630) 861-6663FaxUnlisted FaxMailing LocationMailing Address908 N Elm St Ste 202, Hinsdale, IL 60521-3637Phone(630) 861-6663FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036112978Illinois