Individual
DR. THOMAS RICHARD HUBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
(630) 862-3086
Mailing address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
(630) 862-3086
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36051249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200008142
RAILROAD MEDICARE
IL
05
—
36051249
—
IL
Enumeration date
11/03/2005
Last updated
09/12/2008
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