Provider Demographics
NPI:1821074246
Name:WU, DANIEL ING-HSU (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL ING-HSU
Middle Name:
Last Name:WU
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 1:2154 S ARCHER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1514
Mailing Address - Country:US
Mailing Address - Phone:312-528-0088
Mailing Address - Fax:312-528-0080
Practice Address - Street 1:2154 S ARCHER AVE FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-1514
Practice Address - Country:US
Practice Address - Phone:312-528-0088
Practice Address - Fax:312-528-0080
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036065713 / 02Medicaid
IL01621679OtherBCBS OF IL
IL036065713 / 02Medicaid
ILD 15271Medicare UPIN