Healthcare Provider Details

I. General information

NPI: 1447505664
Provider Name (Legal Business Name): KEVIN TSUI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2012
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 E BELVIDERE RD STE 185
GRAYSLAKE IL
60030-2026
US

IV. Provider business mailing address

1475 E BELVIDERE RD STE 185
GRAYSLAKE IL
60030-2026
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-1800
  • Fax: 847-535-7151
Mailing address:
  • Phone: 312-695-1800
  • Fax: 847-535-7151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036145735
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036145735
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: