Provider Demographics
NPI:1073706388
Name:HUGH MED GROUP INC
Entity Type:Organization
Organization Name:HUGH MED GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-425-0200
Mailing Address - Street 1:2850 W 95TH ST
Mailing Address - Street 2:SUITE #304
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2735
Mailing Address - Country:US
Mailing Address - Phone:708-425-0200
Mailing Address - Fax:708-425-0208
Practice Address - Street 1:2850 W 95TH ST
Practice Address - Street 2:SUITE #304
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2735
Practice Address - Country:US
Practice Address - Phone:708-425-0200
Practice Address - Fax:708-425-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty