Provider Demographics
NPI:1316007131
Name:TSENG, MICHAEL HSIANG-CHE (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HSIANG-CHE
Last Name:TSENG
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 1:56 W PENNY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9580
Mailing Address - Country:US
Mailing Address - Phone:630-372-1214
Mailing Address - Fax:630-933-2675
Practice Address - Street 1:25 N WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190
Practice Address - Country:US
Practice Address - Phone:630-933-4240
Practice Address - Fax:630-933-2675
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0959482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL87650Medicare ID - Type Unspecified
ILH22795Medicare UPIN