Provider Demographics
NPI:1144432733
Name:HUFF, MARIE NMI
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:NMI
Last Name:HUFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:WATERMAN
Mailing Address - State:IL
Mailing Address - Zip Code:60556-7007
Mailing Address - Country:US
Mailing Address - Phone:815-264-3356
Mailing Address - Fax:805-264-3356
Practice Address - Street 1:8222 CHICAGO RD
Practice Address - Street 2:
Practice Address - City:WATERMAN
Practice Address - State:IL
Practice Address - Zip Code:60556-7007
Practice Address - Country:US
Practice Address - Phone:815-264-3356
Practice Address - Fax:805-264-3356
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist