Individual
DR. JEFFREY P HUML
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N. WINFIELD ROAD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N. WINFIELD ROAD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036068425
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036068425
IL
207RP1001X
Pulmonary Disease Physician
036068425
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068425
—
IL
01
—
1617373
BCBS OF IL
IL
01
—
206147
MEDICARE PTAN (GROUP)
—
01
—
206147048
MEDICARE PTAN (INDIVIDUAL)
—
01
—
CA4748
MEDICARE RAILROAD (GROUP)
—
01
—
P00924095
MEDICARE RAILROAD (PROVIDER)
—
Enumeration date
05/16/2006
Last updated
04/21/2015
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