Provider Demographics
NPI:1912032988
Name:LIAO, FRANK K (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:K
Last Name:LIAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4885 HOFFMAN BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3727
Mailing Address - Country:US
Mailing Address - Phone:847-255-9697
Mailing Address - Fax:847-806-9323
Practice Address - Street 1:4885 HOFFMAN BLVD STE 400
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3727
Practice Address - Country:US
Practice Address - Phone:847-255-9697
Practice Address - Fax:847-255-3206
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036104798174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL31602106OtherBLUE SHIELD
IL461632OtherMEDICARE
IL0361047981Medicaid
IL31602106OtherBLUE SHIELD
ILH42393Medicare UPIN