Healthcare Provider Details

I. General information

NPI: 1437310729
Provider Name (Legal Business Name): VINCENT HSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 N ARLINGTON HEIGHTS RD STE 110
ARLINGTON HEIGHTS IL
60004-3985
US

IV. Provider business mailing address

1186 ROOSEVELT RD
GLEN ELLYN IL
60137-6058
US

V. Phone/Fax

Practice location:
  • Phone: 847-255-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036120305
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: