MEDICARE: MR. ALBERT S. HSU L.AC.

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
1	171100000X	Acupuncturist	198000288	IL

General Provider Information

NPI Number	:	1730312737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALBERT S. HSU L.AC.

Provider Business Mailing Address
First Line	:	2601 S HALSTED ST
Second Line	:	2W
City	:	CHICAGO
State	:	IL
Zip	:	60608-5948
Country	:	US
Telephone Number	:	773-770-8936
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 S HALSTED ST
Second Line	:	2W
City	:	CHICAGO
State	:	IL
Zip	:	60608-5948
Country	:	US
Telephone Number	:	773-770-8936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	08/25/2009

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