Individual
JACOB THOR HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1293
Mailing address
515 WINSTON DR, SAINT JOSEPH, IL 61873-8403
(217) 799-9919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.080737
IL
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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