Individual
MARCIA J HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6700
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-078624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078624
—
IL
01
—
L16273
INDIVIDUAL MEDICARE #
—
Enumeration date
07/10/2006
Last updated
07/14/2016
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