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Contact Information

RICHARD D HUBBELL
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RICHARD D HUBBELL · (Male)

NPI # 1295197242
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2016
Last updated 09/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # R-12193
  • IL License # 036160130
  • MA License # 267550
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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