HENRY GENNADIY LIOKUMOVICH MD
NPI 1639757172
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 29, 2021PECOS Enrolled
1901 W HARRISON ST FL 5, CHICAGO, IL 60612(312) 864-1905 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henry Gennadiy Liokumovich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY GENNADIY LIOKUMOVICH MD (NPI 1639757172) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639757172
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHENRY GENNADIY LIOKUMOVICHCredential: MD
Location Address1901 W HARRISON ST FL 5Chicago, IL 60612-3714
Mailing Address1901 W Harrison St Fl 5Chicago, IL 60612-3714 · (312) 864-1905
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
NPI 1639757172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1901 W HARRISON ST FL 5, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Henry Gennadiy Liokumovich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1901 W HARRISON ST FL 5
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1901 W HARRISON ST FL 5
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1901 W HARRISON ST FL 5
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Liokumovich's NPI number?

The NPI number for Henry Liokumovich is 1639757172. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Henry Liokumovich located?

Henry Liokumovich practices at 1901 W Harrison St Fl 5, Chicago, IL 60612. The listed phone number is (312) 864-1905.

What is Henry Liokumovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Henry Liokumovich enrolled in Medicare?

Yes. Henry Liokumovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Liokumovich was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.