Provider Demographics
NPI:1316993496
Name:HSIEH, HUAN JANE (MD)
Entity type:Individual
Prefix:DR
First Name:HUAN
Middle Name:JANE
Last Name:HSIEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:HUAN
Other - Middle Name:JANE
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 N LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-4360
Mailing Address - Country:US
Mailing Address - Phone:217-477-4720
Mailing Address - Fax:217-444-4961
Practice Address - Street 1:707 N LOGAN AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-4360
Practice Address - Country:US
Practice Address - Phone:217-477-4720
Practice Address - Fax:217-444-4961
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036063653207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100007160AMedicaid
IL036063653Medicaid
239753OtherUNITED HEALTHCARE
177396OtherPERSONAL CARE/COVENTRY
239753OtherUNITED HEALTHCARE
160002165Medicare ID - Type UnspecifiedRAILROAD MEDICARE
IL036063653Medicaid