Individual
MATTHEW E HUGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4553 W 56TH ST APT 204C, CHICAGO, IL 60629-5389
(773) 606-1411
Mailing address
4553 W 56TH ST APT 204C, CHICAGO, IL 60629-5389
(773) 606-1411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006063520
IL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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