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NPI Code Detail

MEDICARE: RONA HSU

MEDICARE:   RONA  HSU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry019029989IL

General Provider Information

NPI Number : 1548651474
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONA HSU
Provider Business Mailing Address
First Line : 208 N DUNTON AVE STE A
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-5958
Country : US
Telephone Number : 847-577-0455
Fax Number :
Provider Business Practice Location Address
First Line : 208 N DUNTON AVE STE A
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-5958
Country : US
Telephone Number : 847-577-0455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2015
Last Update Date : 02/13/2015

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Directions to “ RONA HSU ” Practice Location

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