Individual
DR. TERESA A HUBKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3152 N LINCOLN AVE, CHICAGO, IL 60657-3117
(773) 549-8900
Mailing address
PO BOX 578220, CHICAGO, IL 60657-7303
(773) 549-8900
(773) 549-8511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036086740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036086740
—
IL
Enumeration date
11/29/2005
Last updated
11/01/2018
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