Individual
CHING FA HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 465-2571
Mailing address
PO BOX 9040, ALTON, IL 62002-9040
(618) 462-0499
(618) 462-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036052416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052416
—
IL
05
—
062860701
—
IL
01
—
3932056
BLUE SHIELD
IL
Enumeration date
08/24/2006
Last updated
01/07/2009
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