Individual
MICHAEL HULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(219) 617-0487
(219) 762-5717
Mailing address
PO BOX 1210, MATTESON, IL 60443-4210
(708) 720-5392
(708) 720-2035
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000300
IL
Other
Enumeration date
11/29/2011
Last updated
08/12/2013
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