Individual
JOHN A. HUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 W LINCOLN ST, STE 560, BELLEVILLE, IL 62220-1900
(618) 355-7745
(618) 355-7759
Mailing address
340 W LINCOLN ST, STE 560, BELLEVILLE, IL 62220-1900
(618) 355-7745
(618) 355-7759
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
100358
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
36084580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360845803
—
IL
Enumeration date
06/20/2005
Last updated
07/08/2007
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