Provider Demographics
NPI:1982614954
Name:HUANG, SHOU-YIEN S
Entity Type:Individual
Prefix:DR
First Name:SHOU-YIEN
Middle Name:S
Last Name:HUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SHOU-YIEN
Other - Middle Name:S
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1901 W HARRISON ST
Mailing Address - Street 2:NICU 4F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3714
Mailing Address - Country:US
Mailing Address - Phone:312-864-4064
Mailing Address - Fax:312-864-9943
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:NICU 4F
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-4064
Practice Address - Fax:312-864-9943
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360751352080N0001X, 174400000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No174400000XOther Service ProvidersSpecialist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics