Active NPI
Hugh Medical Assoc
- Family Medicine Physician
- Evergreen Park, IL
National Provider Identifier
1316986706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HUGH MEDICAL ASSOC
- Practice address
- 2850 W 95TH St
#304
Evergreen Park, IL 60805-2735 - Phone
- (708) 425-0200
- Fax
- (708) 425-0208
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pauline Wong-Hugh, M.D.
- Title
- Owner
- Phone
- (708) 425-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2850 W 95TH St
#304
Evergreen Park, IL 60805-2735
Mailing address
2850 W 95TH St
#304
Evergreen Park, IL 60805-2735
Phone (708) 425-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618686 | Other | IL | BCBS IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1316986706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 W 95TH ST",
"address_2": "#304",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052735",
"telephone_number": "708-425-0200",
"fax_number": "708-425-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 W 95TH ST",
"address_2": "#304",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052735",
"telephone_number": "708-425-0200",
"fax_number": "708-425-0208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGH MEDICAL ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "WONG-HUGH",
"authorized_official_first_name": "PAULINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-425-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "01618686",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.