Huguley, Jack Glenn

Huguley, Jack Glenn is an individual health care provider with primary practice located at 811 South State Street Suiteb, Chicago IL 60605-0000. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Huguley, Jack Glenn can be contacted via phone (312) 566-9510.

Contact Information

Primary practice address
811 South State Street Suiteb Chicago IL 60605-0000
Phone: (312) 566-9510
Fax: (312) 566-9511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X PA16498 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003674 Illinois

Profile Details

NPI number 1649244336
LBN Legal business name Huguley, Jack Glenn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Feb 10th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649244336 NPPES
Illinois Other 085003674 IL PA LICENSE

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