Active NPI
Michael Huber
- Registered Nurse
- Chatham, IL
National Provider Identifier
1922878719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.414771
- Practice address
- 57 Pheasant Run Dr
Chatham, IL 62629-1049 - Phone
- (217) 820-1492
- NPI assigned
- Jan 3, 2024
- Last updated
- Jan 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.414771 | IL | Primary |
Addresses
Primary practice location
57 Pheasant Run Dr
Chatham, IL 62629-1049
Mailing address
3405 Liberty Dr
Springfield, IL 62704-6521
Phone (217) 862-5647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.414771 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1922878719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 LIBERTY DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046521",
"telephone_number": "217-862-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PHEASANT RUN DR",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626291049",
"telephone_number": "217-820-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.414771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, IL
- Harmons Pharmacy
- Healthcare Network Associates (Family Medical Center-Chatham)
- Healthdirect Institutional Pharmacy Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc. #129)
- Joni Heard
- Maria I Hollo, LPC
- Independence Holding Co LLC (Complete Care Phcy of Chatham)
- Krista Ann Jackson, LPC
- Victoria Rose Jacoby, M.A., CCC-SLP
- Jennifer Jarvis
- James Robert Jirus, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.