Individual
JAMES R HUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2553
(309) 655-2602
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 655-7869
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-098328
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098328
—
IL
01
—
800810
MEDICARE GROUP NO.
—
Enumeration date
06/24/2006
Last updated
04/18/2013
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