Individual
DR. MICHAEL STEVEN HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 MEMORIAL DR STE 340, BELLEVILLE, IL 62226-5373
(618) 234-9884
Mailing address
4700 MEMORIAL DR STE 340, BELLEVILLE, IL 62226-5373
(618) 234-9884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036129925
IL
207X00000X
Orthopaedic Surgery Physician
2011001615
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036129925
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2011001615
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129925
—
IL
01
—
6394100001
MEDICARE DME
IL
Enumeration date
08/30/2006
Last updated
11/23/2021
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