Individual
MS. BRANDI J HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1802 S. MATTIS AVE., CHAMPAIGN, IL 61821-5923
(217) 893-7720
(309) 664-3422
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-6941
(217) 344-8047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007432
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROV ID
IL
01
—
4117
HAMP PROV ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
03/21/2007
Last updated
10/07/2015
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