Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK GLENN HUGULEY, PA
ActivePhysician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1649244336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2006 (20.179697434268 yrs)
- Last Updated
- Feb 10, 2010
- Licenses
-
PA16498 (CA)085003674 (IL)
Practice Information
- Address
-
811 SOUTH STATE STREETSUITEBCHICAGO, IL, 606050000Browse IL providers · Browse ZIP 60605
- Phone
- 3125669510
- Fax
- 3125669511
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANDRIKA SHAH | PA | 1114928884 |
| JACK C. ENTER JR. | PA-C | 1366444184 |
| CASEY ANN MORAN | PA-C | 1740277441 |
| MS. SHANNON J HOBBS | PA-C | 1902893043 |
| MS. HONG HOLLY ZHANG | PA-C | 1609863620 |
| JENNIFER A CENTORE-LOBER | PA C | 1932198322 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.