Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 036129467 | IL |
N | 207RH0003X | Hematology & Oncology | 036129467 | IL |
NPI | 1013144260 |
---|---|
Provider Name | Dr. Stephanie Bochen Tsai |
First Address | Maywood, IL 60153-3328 |
Second Address | Maywood, IL 60153-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 01/02/2022 |