Individual
HUGH SELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE BLDG 228, HINES, IL 60141-3030
(708) 202-7991
Mailing address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-3583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036143492
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2014
Last updated
04/06/2020
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