Provider Demographics
NPI:1245423284
Name:LIU, LIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:LIU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:EVANSTON HOSPITAL
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-1206
Mailing Address - Fax:847-570-1248
Practice Address - Street 1:2650 RIDGE AVE
Practice Address - Street 2:EVANSTON HOSPITAL
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-570-1206
Practice Address - Fax:847-570-1248
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2008-05-14
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Provider Licenses
StateLicense IDTaxonomies
IL036115653207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology