Provider Demographics
NPI:1073521563
Name:CHUANG, HSIN I (MD)
Entity Type:Individual
Prefix:DR
First Name:HSIN I
Middle Name:
Last Name:CHUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 WESTMOOR TRL
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1635
Mailing Address - Country:US
Mailing Address - Phone:847-441-5101
Mailing Address - Fax:
Practice Address - Street 1:1424 W 87TH ST
Practice Address - Street 2:FAMILY MEDICAL CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-4012
Practice Address - Country:US
Practice Address - Phone:773-874-6000
Practice Address - Fax:773-238-8833
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0021603662OtherBCBS
D12522Medicare UPIN
0021603662OtherBCBS