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Contact Information

JACK G HUGULEY, PA
811 SOUTH STATE STREET
SUITEB
CHICAGO, IL60605-0000
 Phone: 312-566-9510
 Fax: 312-566-9511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JACK G HUGULEY · (Male)

NPI Number 1649244336
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/17/2006
Last updated 02/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA16498
  • IL License # 085003674
  • IL Other 085003674 IL PA LICENSE
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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