TE SHAO HSU (NPI# 1255300042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255300042 |
| Entity Type | Individual |
| Full Name | TE SHAO HSU |
| Credential | MD |
| Practice Address |
550 E Devon Ave Ste 200 Itasca IL 60143-2639 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 8646253376 |
| Practice Fax Number | 8557922250 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036118825 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036118825 | 05 | |
| IL | RR MEDICARE | P00612653 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Theodore St Ste 202, Joliet, IL 604350605 | 8646253376 | 8557922250 |
| 2155 City Gate Ln, Ste 225, Naperville, IL 605637733 | 6305475040 | 6303050094 |
| Street Address |
550 E DEVON AVE STE 200 |
| City | ITASCA |
| State | IL |
| Zip Code | 60143-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595690 | Ashish C Bhatia | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2005-11-18 |
| 1255968772 | Prianca Patel | Physician Assistant | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2020-03-25 |
| 1487168258 | Oak Dermatology LLC | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2017-11-30 |
| 1982679015 | Joseph Daw Jr. | Oral & Maxillofacial Surgery | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699204164 | Naila Pervez | Developmental Therapist | 1312 Prestwick Ln, Itasca, IL 60143 | 2017-06-08 |
| 1194267013 | Phylicia Ranes | Counselor | 333 Pierce Rd, Itassca, IL 60143 | 2016-11-09 |
| 1467832766 | Emily Lefew | Counselor | 333 W Pierce Rd Ste 175, Itasca, IL 60143 | 2015-06-02 |
| 1295021269 | Chicago Autism and Behavior Specialists | Behavioral Analyst | 901 W Hawthorn Drive, Itasca, IL 60143 | 2011-06-28 |
| 1104071166 | Robert E. Scheck | Dentist | 115 W Orchard St., Itasca, IL 60143 | 2008-11-18 |
| 1831348028 | Amanda Parker | Psychologist | 901 W Hawthorn Dr, Itasca, IL 60143 | 2008-09-12 |
| 1770629289 | Sylwia Lucja Smirnow | Physical Therapist | 535 S Elm Str, Itasca, IL 60143 | 2007-01-30 |
| 1093802738 | Roy S Scheck | Family Medicine | 115 West Orchard St, Itasca, IL 60143 | 2006-10-06 |
| 1992270383 | Brooke Elizabeth Christenson | Behavior Technician | 901 W Hawthorn Drive, Itasca, ID 60143 | 2018-10-11 |
| 1477028108 | Nicole Dziekonski | Behavior Technician | 901 W Hawthorn Drive, Itasca, IL 60143 | 2018-10-09 |
| Find all providers in zip 60143 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TE SHAO HSU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.