Provider Demographics
NPI:1427855451
Name:MENG, LIPING (PMHNP, RN, PHD, MSN,)
Entity type:Individual
Prefix:
First Name:LIPING
Middle Name:
Last Name:MENG
Suffix:
Gender:
Credentials:PMHNP, RN, PHD, MSN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 E 50TH PL APT 1W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2519
Mailing Address - Country:US
Mailing Address - Phone:312-806-3360
Mailing Address - Fax:
Practice Address - Street 1:651 E 50TH PL
Practice Address - Street 2:1W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615
Practice Address - Country:US
Practice Address - Phone:312-806-3360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.031722363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health