Provider Demographics
NPI:1437303286
Name:HU, XIN(HANNAH)
Entity Type:Individual
Prefix:
First Name:XIN(HANNAH)
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1226
Mailing Address - Country:US
Mailing Address - Phone:847-482-9388
Mailing Address - Fax:847-482-9386
Practice Address - Street 1:1343 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1226
Practice Address - Country:US
Practice Address - Phone:847-482-9388
Practice Address - Fax:847-482-9386
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000444171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist