Provider Demographics
NPI:1932480381
Name:MUI, HUMBERTO (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:HUMBERTO
Middle Name:
Last Name:MUI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 HANSEN CT
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-1110
Mailing Address - Country:US
Mailing Address - Phone:847-945-4444
Mailing Address - Fax:847-236-4966
Practice Address - Street 1:165 HANSEN CT
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1110
Practice Address - Country:US
Practice Address - Phone:847-945-4444
Practice Address - Fax:847-236-4966
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.287722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist