Organization
HUGH MEDICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINE WONG-HUGH M.D. (OWNER)
(708) 425-0200
Entity
Organization
Contact information
Practice address
2850 W 95TH ST, #304, EVERGREEN PARK, IL 60805-2735
(708) 425-0200
(708) 425-0208
Mailing address
2850 W 95TH ST, #304, EVERGREEN PARK, IL 60805-2735
(708) 425-0200
(708) 425-0208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618686
BCBS IL
IL
Enumeration date
06/04/2006
Last updated
09/24/2007
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