Provider Demographics
NPI:1558733741
Name:HAN, XIAOQIANG
Entity Type:Individual
Prefix:
First Name:XIAOQIANG
Middle Name:
Last Name:HAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:STEVE
Other - Middle Name:XIAOQIANG
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:446 E ONTARIO STREET
Mailing Address - Street 2:SUITE 10-1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-695-4960
Mailing Address - Fax:312-695-4961
Practice Address - Street 1:446 E ONTARIO STREET
Practice Address - Street 2:SUITE 10-1000
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-695-4960
Practice Address - Fax:312-695-4961
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program