CHENGLU LIU (NPI# 1437334208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437334208 |
| Entity Type | Individual |
| Full Name | CHENGLU LIU |
| Credential | M.D. |
| Practice Address |
1614 E Norris Dr Suite 2b Ottawa IL 61350-3681 |
| Practice Telephone | 8154331010 |
| Mailing Telephone | 8154331010 |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036123647 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1614 E NORRIS DR SUITE 2B |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-3681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336952 | Gueorgui S Gueorguiev | Family Medicine | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2005-09-20 |
| 1740769298 | Loni F Nolte | Social Worker | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2018-08-07 |
| 1609227081 | Heather M Johnston | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2016-06-27 |
| 1013382209 | Sherri L Albert | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2015-12-14 |
| 1730560822 | Austin David Martin | Family Medicine | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2015-06-15 |
| 1659771863 | Justine Mucci | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2014-08-26 |
| 1760891766 | Danielle Pagano | Registered Nurse | 1614 E Norris Dr, Ottawa, IL 61350 | 2014-08-05 |
| 1659620342 | Kayla A Simons | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2012-09-10 |
| 1063749596 | Ottawa Regional Medical Center Inc. | Family Medicine | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2009-11-04 |
| 1548429509 | Ami M Dose | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2008-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495770 | Francis B. Pease | Surgery | 602 S Maple St, Ottawa, KS 66067-2730 | 2005-08-26 |
| 1477545671 | Rodney Tay Mccalla | Surgery | 1301 S Main St, Ottawa, KS 66067-3537 | 2005-08-16 |
| 1427260207 | Illinois Valley Surgical Associates, Sc | Surgery | 1050 E Norris Dr, Suite 2b, Ottawa, IL 61350-1605 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.