Provider Demographics
NPI:1588672687
Name:MEI, HUBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:
Last Name:MEI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 W 31ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-3135
Mailing Address - Country:US
Mailing Address - Phone:312-791-0025
Mailing Address - Fax:312-791-0033
Practice Address - Street 1:467 W 31ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-3135
Practice Address - Country:US
Practice Address - Phone:312-791-0025
Practice Address - Fax:312-791-0033
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038007401111N00000X
IL198.000230171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK50244Medicare PIN