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Jonathan Liu

Social Worker, Clinical in Wheaton, IL. Individual provider (NPI-1).

NPI number1750797247
StatusActive
Last updated in NPPESSep 15, 2025

Details

NPI
1750797247
Entity type
Individual (NPI-1)
Name
Jonathan Liu
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 7, 2014
Certification date
Sep 15, 2025
Last updated
Sep 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149025299ILYes
1041C0700X Social Worker, ClinicalISW03113RI
1041C0700X Social Worker, ClinicalC018700NC

Practice location

1330 S Lorraine Rd Apt A
Wheaton, IL 60189-7000

Phone 630-474-3505

Mailing address

1330 S Lorraine Rd Apt A
Wheaton, IL 60189-7000

Phone 630-474-3505

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