Provider Demographics
NPI:1518002922
Name:FALLS, HUGH C (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:C
Last Name:FALLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1674
Mailing Address - Country:US
Mailing Address - Phone:847-234-9110
Mailing Address - Fax:847-234-0900
Practice Address - Street 1:900 N WESTMORELAND RD
Practice Address - Street 2:SUITE #207
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1674
Practice Address - Country:US
Practice Address - Phone:847-234-9110
Practice Address - Fax:847-234-0900
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4915052OtherBLUE CROSS BLUE SHIELD-IL
ILC41209Medicare UPIN
IL4915052OtherBLUE CROSS BLUE SHIELD-IL