Individual
DR. JILLIAN HUYCK HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3611 S CHICAGO AVE, SUITE 100, SOUTH MILWAUKEE, WI 53172-3738
(414) 762-7270
(414) 762-7864
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60403-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034397
—
WI
Enumeration date
03/21/2011
Last updated
12/04/2023
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