Individual
MR. JERRY HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
202 S MAPLE LN, PROSPECT HEIGHTS, IL 60070-2536
(773) 807-5909
Mailing address
202 S MAPLE LN, PROSPECT HEIGHTS, IL 60070-2536
(773) 807-5909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85004767
IL
Other
Enumeration date
08/02/2013
Last updated
03/08/2017
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