Provider Demographics
NPI:1821247719
Name:LOCHARD, HUGHES PAGANINI (MD)
Entity Type:Individual
Prefix:
First Name:HUGHES
Middle Name:PAGANINI
Last Name:LOCHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HUGO
Other - Middle Name:
Other - Last Name:LOCHARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6A
Mailing Address - Street 2:RR #1 DEPT OF HUMAN SERVICES OF IL
Mailing Address - City:RUSHVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62681
Mailing Address - Country:US
Mailing Address - Phone:217-322-3204
Mailing Address - Fax:217-322-2133
Practice Address - Street 1:RR #1 HORNEY BRANCH
Practice Address - Street 2:DEPT OF HUMAN SERVICES OF IL
Practice Address - City:RUSHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62681
Practice Address - Country:US
Practice Address - Phone:217-322-3204
Practice Address - Fax:217-322-2133
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036086683208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF63372Medicare UPIN