Provider Demographics
NPI:1730312737
Name:HSU, ALBERT S (LAC)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:S
Last Name:HSU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S HALSTED ST
Mailing Address - Street 2:2W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-5948
Mailing Address - Country:US
Mailing Address - Phone:773-770-8936
Mailing Address - Fax:
Practice Address - Street 1:2601 S HALSTED ST
Practice Address - Street 2:2W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-5948
Practice Address - Country:US
Practice Address - Phone:773-770-8936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000288171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist